Organization
VILLAGE OF SOUTH RUSSELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW BRATT (MAYOR)
(440) 338-7843
Entity
Organization
Contact information
Practice address
21 W WASHINGTON ST, CHAGRIN FALLS, OH 44022-3010
(440) 338-7843
(440) 338-8776
Mailing address
21 W WASHINGTON ST, CHAGRIN FALLS, OH 44022-3010
(440) 338-7843
(440) 338-8776
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2356892
—
OH
Enumeration date
03/29/2007
Last updated
08/22/2020
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