Organization
VILLAGE OF CLINTON
Active
Other names
Clinton Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT E. FREY (CHIEF)
(330) 882-3752
Entity
Organization
Contact information
Practice address
7717 CLEVELAND MASSILLON RD, CLINTON, OH 44216-8912
(330) 882-4828
(330) 882-5220
Mailing address
7717 CLEVELAND MASSILLON RD, CLINTON, OH 44216-8912
(330) 882-4828
(330) 882-5220
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
02-0914550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212831
BCBS
OH
05
—
2490791
—
OH
Enumeration date
06/06/2006
Last updated
05/07/2013
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