Healthcare Provider Details

I. General information

NPI: 1255582433
Provider Name (Legal Business Name): GREEN PERRYSVILLE JOINT FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2008
Last Update Date: 05/01/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 E 3RD ST
PERRYSVILLE OH
44864-9569
US

IV. Provider business mailing address

PO BOX 270
LOUDONVILLE OH
44842-0270
US

V. Phone/Fax

Practice location:
  • Phone: 419-938-5822
  • Fax:
Mailing address:
  • Phone: 419-938-5822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number020857050
License Number StateOH

VIII. Authorized Official

Name: ANDREA J PURCELL
Title or Position: FISCAL OFFICER
Credential:
Phone: 419-938-5822