Organization
SHERWOOD VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREL ROCK (CHIEF)
(419) 899-2145
Entity
Organization
Contact information
Practice address
405 N HARRISON ST, SHERWOOD, OH 43556-8554
(800) 962-1484
(513) 772-4464
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000291972
ANTHEM
OH
05
—
0540445
—
OH
01
—
590015252
RAILROAD MEDICARE
OH
01
—
=========
TRICARE 4 LIFE
OH
Enumeration date
07/02/2006
Last updated
08/11/2025
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