Healthcare Provider Details

I. General information

NPI: 1972503100
Provider Name (Legal Business Name): VILLAGE OF NEW RICHMOND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HAMILTON ST
NEW RICHMOND OH
45157-1227
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251-9907
US

V. Phone/Fax

Practice location:
  • Phone: 513-553-2117
  • Fax:
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number02-0325650
License Number StateOH

VIII. Authorized Official

Name: TIMOTHY FELDKAMP
Title or Position: CHIEF
Credential:
Phone: 513-553-2117