# JEFFERSON TOWNSHIP FAYETTE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JEFFERSON TOWNSHIP EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659841575
- **Authorized official:** JACOB ROSE (ADMINISTRATIVE EMS CAPTAIN)
- **Authorized official phone:** (740) 463-1130

## Contact information

- **Practice address:** 28 S MAIN ST, JEFFERSON TOWNSHIP, OH 43128-1019
- **Practice address phone:** (740) 426-6330
- **Mailing address:** 28 S MAIN ST, JEFFERSONVILLE, OH 43128-1019
- **Mailing address phone:** (740) 426-6330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2018
- **Last updated:** 09/08/2024