Organization
PORT WILLIAM-LIBERTY TOWNSHIP JOINT FIRE AND EMS DISTRICT
Active
Other names
Port William Life Squad
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD STRYKER (DIRECTOR)
(937) 414-0085
Entity
Organization
Contact information
Practice address
7211 NORTH STREET RT. 134, WILMINGTON, OH 45177-9629
(937) 414-0085
(937) 486-5300
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS020327100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157115
—
OH
01
—
710731700
DOL - FECA /BL / ENERGY
OH
Enumeration date
09/09/2013
Last updated
12/17/2021
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