Organization
VILLAGE OF BETHESDA
Active
Other names
VILLAGE OF BETHESDA FIRE DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY W BURKHEAD (FISCAL OFFICER)
(740) 484-1250
Entity
Organization
Contact information
Practice address
103 EAST SPRING STREET, BETHESDA, OH 43719
(740) 484-4573
(740) 484-4575
Mailing address
PO BOX 591, BETHESDA, OH 43719-0591
(740) 484-4573
(740) 484-4575
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000154984
BCBS
OH
01
—
020323950
BOARD OF PHARMACY
OH
05
—
2149222
—
OH
01
—
590013463
MEDICARE RR
OH
Enumeration date
01/16/2007
Last updated
02/12/2025
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