Healthcare Provider Details

I. General information

NPI: 1285772327
Provider Name (Legal Business Name): VILLAGE OF ORANGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 LANDER ROAD
ORANGE VILLAGE OH
44022
US

IV. Provider business mailing address

4600 LANDER ROAD
ORANGE VILLAGE OH
44022
US

V. Phone/Fax

Practice location:
  • Phone: 440-498-4402
  • Fax: 440-498-4404
Mailing address:
  • Phone: 440-498-4400
  • Fax: 440-498-4404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. ROGER DELMAN
Title or Position: TREASURER
Credential:
Phone: 440-498-4400