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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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