MEDICARE: VILLAGE OF ROSEVILLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000155272	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811026453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE OF ROSEVILLE

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 W 1ST ST
Second Line	:
City	:	ROSEVILLE
State	:	OH
Zip	:	43777
Country	:	US
Telephone Number	:	740-342-9367
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	EDWIN GUY
Credential	:
Telephone Number	:	740-252-8078

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	08/18/2025

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Directions to “VILLAGE OF ROSEVILLE ” Practice Location

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