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Organization
POLK JACKSON PERRY VOLUNTEER FIREFIGHTERS & SQUADPERSONS ASSICI
Active
Organization
POLK JACKSON PERRY VOLUNTEER FIREFIGHTERS & SQUADPERSONS ASSICI
Active
Other names
Polk Jackson Perry Fire District
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN WILEY (FISCAL OFFICER)
(419) 945-2681
Entity
Organization
Contact information
Practice address
209 E CONGRESS ST, POLK, OH 44866-9701
(419) 945-2681
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
020363050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000272999
ANTHEM
OH
05
—
2385333
—
OH
Enumeration date
08/17/2005
Last updated
05/14/2024
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