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Organization

CITY OF MACEDONIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY BLACK (CHIEF)
(330) 468-8339
Entity
Organization

Contact information

Practice address
9691 VALLEY VIEW RD, MACEDONIA, OH 44056-2044
(330) 468-8339
(330) 468-8393
Mailing address
9691 VALLEY VIEW RD, MACEDONIA, OH 44056-2044
(330) 468-8339
(330) 468-8393

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2235852
OH
Enumeration date
03/29/2007
Last updated
08/22/2020
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