Organization
VILLAGE OF SHERRODSVILLE
Active
Parent organization
VILLAGE OF SHERRODSVILLE
Other names
SHERRODSVILLE EMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
VILLAGE OF SHERRODSVILLE
Authorized official
MS. ROXANNE MAZUR (FISCAL OFFICER)
(740) 269-5025
Entity
Organization
Contact information
Practice address
4 SHERROD AVE, SHERRODSVILLE, OH 44675
(740) 269-5025
Mailing address
PO BOX 31, SHERRODSVILLE, OH 44675-0031
(740) 269-5025
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
021016900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229642
BCBS
OH
05
—
0541024
—
OH
Enumeration date
02/13/2007
Last updated
12/17/2015
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