Healthcare Provider Details

I. General information

NPI: 1306995626
Provider Name (Legal Business Name): VINTON CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 03/19/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31931 SR 93 NORTH
MCARTHUR OH
45651-8766
US

IV. Provider business mailing address

836 4TH AVE
HUNTINGTON WV
25701-1407
US

V. Phone/Fax

Practice location:
  • Phone: 740-596-4123
  • Fax: 740-596-3718
Mailing address:
  • Phone: 304-521-1576
  • Fax: 304-521-1576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number020972950
License Number StateOH

VIII. Authorized Official

Name: JEFFREY WOODRUM
Title or Position: EMS DIRECTOR
Credential:
Phone: 740-596-4122