Organization
VILLAGE OF BLOOMDALE
Active
Other names
Village of Bloomdale Ambulance Services
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JOHN MARECHES (CHIEF OPERATING OFFICER)
(419) 454-3764
Entity
Organization
Contact information
Practice address
102 S MAPLE ST, BLOOMDALE, OH 44817
(419) 454-2941
(419) 454-2119
Mailing address
102 S MAPLE ST, PO BOX 235, BLOOMDALE, OH 44817
(419) 454-2941
(419) 454-2119
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156050
ANTHEM BLUE CROSS
—
05
—
0601969
—
OH
01
—
P00259613
RAILROAD MEDICARE
—
Enumeration date
01/17/2006
Last updated
11/15/2023
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