Organization
CORPORATION OF VILLAGE OF PORT WILLIAM
Active
Other names
Village of Port William Fire Dept
Organization subpart
No
Provider details
NPI number
Authorized official
KEN IANSON (MAYOR)
(937) 302-7010
Entity
Organization
Contact information
Practice address
220 SECOND ST, PORT WILLIAM, OH 45164
(937) 302-7010
(937) 486-5300
Mailing address
PO BOX 263, WILMINGTON, OH 45177-0263
(937) 424-3701
(937) 291-2971
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
02-0327100
OH
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000525508
ANTHEM
OH
05
—
2782118
—
OH
Enumeration date
03/08/2007
Last updated
05/10/2011
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