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Organization

NORTHWEST AMBULANCE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VINCENT T. GILDONE EMTP (ADMINISTRATOR)
(440) 466-4900
Entity
Organization

Contact information

Practice address
1480 SOUTH BROADWAY, GENEVA, OH 44041
(440) 466-4900
(440) 466-9469
Mailing address
1480 SOUTH BROADWAY, GENEVA, OH 44041
(440) 466-4900
(440) 466-9469

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0286140
OH
Enumeration date
11/07/2006
Last updated
08/16/2012
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