Healthcare Provider Details

I. General information

NPI: 1811026453
Provider Name (Legal Business Name): VILLAGE OF ROSEVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 W 1ST ST
ROSEVILLE OH
43777
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251
US

V. Phone/Fax

Practice location:
  • Phone: 740-342-9367
  • Fax:
Mailing address:
  • Phone: 800-962-1484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: EDWIN GUY
Title or Position: CHIEF
Credential:
Phone: 740-252-8078