Organization
MAUMEE CIVIL TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI THOMPSON (TOWNSHIP TRUSTEE)
(260) 632-9977
Entity
Organization
Contact information
Practice address
17022 WOODBURN RD, WOODBURN, IN 46797-9483
(260) 632-3021
Mailing address
PO BOX 142, WOODBURN, IN 46797-0142
(260) 632-9977
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0075
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201134580A
—
IN
Enumeration date
02/27/2012
Last updated
01/11/2018
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