Healthcare Provider Details

I. General information

NPI: 1083603211
Provider Name (Legal Business Name): CITY OF MARIETTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 PUTNAM ST
MARIETTA OH
45750-3020
US

IV. Provider business mailing address

301 PUTNAM ST
MARIETTA OH
45750-3020
US

V. Phone/Fax

Practice location:
  • Phone: 740-376-6444
  • Fax: 937-291-2971
Mailing address:
  • Phone: 855-626-9660
  • Fax: 833-953-0588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number020350150-13
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: STEVEN A. WETZ
Title or Position: DIRECTOR OF PUBLIC SAFETY AND SERVI
Credential:
Phone: 740-373-1387