Organization
VILLAGE OF CROOKSVILLE
Active
Other names
Village of Crooksville EMS
Organization subpart
No
Provider details
NPI number
Authorized official
DYRALL NEWLON (CHIEF)
(740) 982-6801
Entity
Organization
Contact information
Practice address
531 WALNUT ST, CROOKSVILLE, OH 43731-1165
(740) 982-6801
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9900
(800) 962-1484
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155268
ANTHEM
OH
05
—
0602913
—
OH
Enumeration date
03/20/2007
Last updated
12/09/2025
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