Healthcare Provider Details
I. General information
NPI: 1629107289
Provider Name (Legal Business Name): READING TOWNSHIP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/02/2007
Last Update Date: 03/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
302 S MARKET ST
SOMERSET OH
43783
US
IV. Provider business mailing address
PO BOX 547
SOMERSET OH
43783-0547
US
V. Phone/Fax
- Phone: 740-743-1441
- Fax:
- Phone: 740-743-1441
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MIKE
HENDERSON
Title or Position: EMS CHIEF
Credential: EMT-P
Phone: 740-743-1441