Organization
WEST LICKING JOINT FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M MAGERS (FIRE CHIEF)
(740) 927-8699
Entity
Organization
Contact information
Practice address
851 E BROAD ST, PATASKALA, OH 43062-8199
(740) 927-8699
Mailing address
PO BOX 2039, MOUNT VERNON, OH 43050-7239
(740) 522-8815
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
020323500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000755015
ANTHEM
OH
05
—
0062194
—
OH
01
—
P01020889
RAILROAD MEDICARE
OH
Enumeration date
11/29/2011
Last updated
07/28/2016
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