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Organization

VILLAGE OF HUNTSVILLE

Active
Other names
Huntsville Emergency Squad
Organization subpart
No

Provider details

NPI number
Authorized official
PHYLLIS J HALL (EMS CLERK)
(937) 686-4294
Entity
Organization

Contact information

Practice address
6740 WISHART ST, HUNTSVILLE, OH 43324-9619
(937) 686-4294
(937) 686-4329
Mailing address
6740 WISHART ST, HUNTSVILLE, OH 43324-9619
(937) 686-4294
(937) 686-4329

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0879401
OH
Enumeration date
03/22/2007
Last updated
08/22/2020
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