Organization
VILLAGE OF ANTWERP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MARIE MCDOUGALL AEMT (EMS BILLING CLERK)
(419) 258-1832
Entity
Organization
Contact information
Practice address
204 W. DAGGETT ST., ANTWERP, OH 45813
(419) 258-1832
(419) 258-2558
Mailing address
PO BOX 1046, ANTWERP, OH 45813-1046
(419) 258-1832
(419) 258-2558
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220577
MEDICAID PROVIDER #
OH
Enumeration date
07/13/2007
Last updated
11/17/2025
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