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Organization
SYCAMORE VILLAGE OFFICE OF CLERK
Active
Organization
SYCAMORE VILLAGE OFFICE OF CLERK
Active
Other names
Sycamore Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN CLOUSE (CHIEF)
(419) 397-2063
Entity
Organization
Contact information
Practice address
106 E SEVENTH ST, SYCAMORE, OH 44849
(419) 927-2900
(419) 927-2988
Mailing address
PO BOX 77, 106 E SEVENTH STREET, SYCAMORE, OH 44882-0077
(419) 927-2900
(419) 927-2988
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
020299904
OH
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259081
—
OH
01
—
590007226
RAILROAD MEDICARE PROVIDE
OH
Enumeration date
09/23/2005
Last updated
11/26/2012
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