Healthcare Provider Details

I. General information

NPI: 1548444185
Provider Name (Legal Business Name): VILLAGE OF MT. ORAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2007
Last Update Date: 03/10/2024
Certification Date: 03/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 SPICE ST
MOUNT ORAB OH
45154-8932
US

IV. Provider business mailing address

PO BOX 2122
RIVERVIEW MI
48193-1122
US

V. Phone/Fax

Practice location:
  • Phone: 937-444-3903
  • Fax:
Mailing address:
  • Phone: 734-224-4474
  • Fax: 734-479-6319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NICHOLAS RYMER
Title or Position: FIRE CHIEF
Credential:
Phone: 937-444-3903