Organization
PERRY PORT & SALEM AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE BROWN (ASSISTANT CHIEF)
(937) 538-1802
Entity
Organization
Contact information
Practice address
205 WALL ST, PORT JEFFERSON, OH 45360
(937) 538-1802
Mailing address
PO BOX 102, PORT JEFFERSON, OH 45360-0102
(937) 538-1802
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
02035000210714
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000249684
BC/BS
OH
05
—
2355366
—
OH
Enumeration date
02/16/2006
Last updated
02/14/2012
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