# TOWNSHIP OF MARY ANN TRUSTEES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043463623
- **Authorized official:** KEISHA AMSPAUGH (FIRE CHIEF)
- **Authorized official phone:** (740) 345-5972

## Contact information

- **Practice address:** 6099 FALLSBURG RD NE, NEWARK, OH 43055-9739
- **Practice address phone:** (740) 345-3645
- **Practice address fax:** (740) 345-0338
- **Mailing address:** 11950 WILKINS RUN RD NE, NEWARK, OH 43055-9736
- **Mailing address phone:** (740) 345-3645
- **Mailing address fax:** (740) 345-0338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | N/A | OH | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 08/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2937942 | — | OH |