Organization
TOWNSHIP OF MARY ANN TRUSTEES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA AMSPAUGH (FIRE CHIEF)
(740) 345-5972
Entity
Organization
Contact information
Practice address
6099 FALLSBURG RD NE, NEWARK, OH 43055-9739
(740) 345-3645
(740) 345-0338
Mailing address
11950 WILKINS RUN RD NE, NEWARK, OH 43055-9736
(740) 345-3645
(740) 345-0338
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
N/A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2937942
—
OH
Enumeration date
10/28/2008
Last updated
08/15/2023
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