Organization
SYCAMORE VILLAGE OFFICE OF CLERK
Active
Other names
Sycamore Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN CLOUSE (CHIEF)
(419) 397-2063
Entity
Organization
Contact information
Practice address
106 E SEVENTH ST, SYCAMORE, OH 44849
(419) 927-2900
(419) 927-2988
Mailing address
PO BOX 77, 106 E SEVENTH STREET, SYCAMORE, OH 44882-0077
(419) 927-2900
(419) 927-2988
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
020299904
OH
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259081
—
OH
01
—
590007226
RAILROAD MEDICARE PROVIDE
OH
Enumeration date
09/23/2005
Last updated
11/26/2012
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