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Organization

NATIONAL TRAIL VOLUNTEER FIRE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOM ALLEN ROBERTS (FIRE CHIEF)
(740) 787-2466
Entity
Organization

Contact information

Practice address
362 CHURCH ST., GRATIOT, OH 43740-0165
(740) 787-2466
(740) 787-1026
Mailing address
PO BOX 165, GRATIOT, OH 43740-0165
(740) 787-2466
(740) 787-1026

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS.020309700
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2398534
OH
Enumeration date
07/26/2006
Last updated
05/26/2022
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