# PORT WILLIAM-LIBERTY TOWNSHIP JOINT FIRE AND EMS DISTRICT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Port William Life Squad
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144655283
- **Authorized official:** RONALD STRYKER (DIRECTOR)
- **Authorized official phone:** (937) 414-0085

## Contact information

- **Practice address:** 7211 NORTH STREET RT. 134, WILMINGTON, OH 45177-9629
- **Practice address phone:** (937) 414-0085
- **Practice address fax:** (937) 486-5300
- **Mailing address:** PO BOX 9150, PADUCAH, KY 42002-9150
- **Mailing address phone:** (270) 744-9600
- **Mailing address fax:** (270) 744-0834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | EMS020327100 | OH | Yes |

## Other

- **Enumeration date:** 09/09/2013
- **Last updated:** 12/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0157115 | — | OH |
| 01 | — | 710731700 | DOL - FECA /BL / ENERGY | OH |