Organization
ADAMS COUNTY AUDITOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETTA SPARKS (EMS CHIEF)
(937) 544-2010
Entity
Organization
Contact information
Practice address
17955 ST RT 247, PEEBLES, OH 45660
(937) 544-2010
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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