Organization
SOMERTON VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA L BLACKSTONE (ASST FISCAL OFFICER)
(740) 757-2565
Entity
Organization
Contact information
Practice address
55717 WASHINGTON ST, SOMERTON, OH 43713-9570
(740) 757-2565
Mailing address
55717 WASHINGTON ST, SOMERTON, OH 43713-9570
(740) 757-2565
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
021021300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000287974
BCBS
OH
05
—
2304438
—
OH
Enumeration date
12/11/2006
Last updated
06/28/2022
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