Healthcare Provider Details

I. General information

NPI: 1033683628
Provider Name (Legal Business Name): CITY OF LONDON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E HIGH ST
LONDON OH
43140-1228
US

IV. Provider business mailing address

PO BOX L-3962
COLUMBUS OH
43260-3962
US

V. Phone/Fax

Practice location:
  • Phone: 740-852-4297
  • Fax: 740-852-1392
Mailing address:
  • Phone: 740-852-4297
  • Fax: 740-852-1392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. TODD EADES
Title or Position: FIRE CHIEF
Credential:
Phone: 740-852-4297