Organization
VILLAGE OF ROSEVILLE
Active
Other names
VILLAGE OF ROSEVILLE VOL FIRE & EMS
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN GUY (CHIEF)
(740) 252-8078
Entity
Organization
Contact information
Practice address
9 W 1ST ST, ROSEVILLE, OH 43777
(740) 342-9367
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251
(800) 962-1484
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155272
ANTHEM
OH
05
—
0739697
—
OH
Enumeration date
03/02/2007
Last updated
08/18/2025
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