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Perry Port & Salem Ambulance Service INC

Ambulance in Port Jefferson, OH. Organization (NPI-2).

NPI number1124092879
StatusActive
Last updated in NPPESFeb 14, 2012

Details

NPI
1124092879
Entity type
Organization (NPI-2)
Legal business name
Perry Port & Salem Ambulance Service INC
Organization subpart
No
Enumeration date
Feb 16, 2006
Last updated
Feb 14, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
341600000X Ambulance02035000210714OHYes

Practice location

205 Wall St
Port Jefferson, OH 45360

Phone 937-538-1802

Mailing address

Po Box 102
Port Jefferson, OH 45360-0102

Phone 937-538-1802

Authorized official

Yvonne Brown
Assistant Chief
9375381802

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