Healthcare Provider Details

I. General information

NPI: 1134265440
Provider Name (Legal Business Name): VILLAGE OF JUNCTION CITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 MULBERRY ST
JUNCTION CITY OH
43748
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251
US

V. Phone/Fax

Practice location:
  • Phone: 740-987-3001
  • 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: MR. RONALD SAWVEL II
Title or Position: EMS CAPTAIN
Credential: FF/EMT-P/FP-C
Phone: 740-684-1064