Organization
VILLAGE OF BELOIT
Active
Parent organization
VILLAGE OF BELOIT
Other names
BELOIT VOL F.D. RESCUE SQUAD
Organization subpart
Yes
Provider details
NPI number
Legal business name
VILLAGE OF BELOIT
Authorized official
MS. DEBRA S HARTZELL (FISCAL OFFICER)
(330) 525-7278
Entity
Organization
Contact information
Practice address
17893 EAST FIFTH ST, BELOIT, OH 44609
(330) 938-9305
(330) 938-9305
Mailing address
PO BOX 276, BELOIT, OH 44609-0276
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
020320250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000252909
ANTHEM BCBS
OH
05
—
0475632
—
OH
01
—
590013819
RR MEDICARE
OH
Enumeration date
07/01/2006
Last updated
02/13/2013
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