Healthcare Provider Details

I. General information

NPI: 1295743185
Provider Name (Legal Business Name): SWISS VALLEY JOINT AMBULANCE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 03/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 W MAIN ST
BALTIC OH
43804-9094
US

IV. Provider business mailing address

214 WEST THIRD ST
DOVER OH
44622
US

V. Phone/Fax

Practice location:
  • Phone: 330-897-4464
  • Fax: 330-897-1044
Mailing address:
  • Phone: 330-602-5180
  • Fax: 330-602-5471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MARGARET A SCHIE
Title or Position: CLERK
Credential:
Phone: 330-897-4464