Organization
JEROMESVILLE FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-7080
Entity
Organization
Contact information
Practice address
NORTH HURON STREET, JEROMESVILLE, OH 44840-0414
(419) 368-6811
(419) 368-4147
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 336-6402
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
020736400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2553811
—
OH
01
—
P00641859
RAILROAD MEDICARE
OH
Enumeration date
01/30/2006
Last updated
02/17/2009
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