Organization
FARMINGTON TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY CLISBY (FIRE CHIEF)
(330) 889-3024
Entity
Organization
Contact information
Practice address
151 COLLEGE ST., WEST FARMINGTON, OH 44491-0081
(330) 889-3024
(330) 889-9390
Mailing address
PO BOX 81, WEST FARMINGTON, OH 44491-0081
(330) 889-3024
(330) 889-9390
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000294667
ANTHEM GROUP ID
OH
05
—
2422971
—
OH
Enumeration date
04/30/2007
Last updated
08/22/2020
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