Organization
THORN TWP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH R WEEKLY (FIRE CHIEF)
(740) 246-6735
Entity
Organization
Contact information
Practice address
13770 ZION RD, THORNVILLE, OH 43076-2517
(740) 246-6735
(740) 587-1362
Mailing address
PO BOX 419, THORNVILLE, OH 43076-0419
(740) 246-6735
(740) 587-1362
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000276914
ANTHEM
OH
05
—
2370321
—
OH
Enumeration date
05/10/2007
Last updated
11/03/2020
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