Organization
SHORT CREEK JOINT FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY A PATTON (FISCAL OFFICER)
(740) 546-4113
Entity
Organization
Contact information
Practice address
270 E MAIN ST, ADENA, OH 43901-7813
(740) 546-4113
Mailing address
PO BOX 33, ADENA, OH 43901-0033
(740) 546-4113
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022713250
BOARD OF PHARMACY
OH
05
—
0258875
—
OH
Enumeration date
01/17/2017
Last updated
01/10/2024
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