Healthcare Provider Details

I. General information

NPI: 1952426694
Provider Name (Legal Business Name): VILLAGE OF CROOKSVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 WALNUT ST
CROOKSVILLE OH
43731-1165
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251-9900
US

V. Phone/Fax

Practice location:
  • Phone: 740-982-6801
  • Fax:
Mailing address:
  • Phone: 800-962-1484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: DYRALL NEWLON
Title or Position: CHIEF
Credential:
Phone: 740-982-6801