Healthcare Provider Details

I. General information

NPI: 1649327917
Provider Name (Legal Business Name): VILLAGE OF STRASBURG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 2ND ST NE
STRASBURG OH
44680-1084
US

IV. Provider business mailing address

125 2ND ST NE
STRASBURG OH
44680-1084
US

V. Phone/Fax

Practice location:
  • Phone: 330-878-7115
  • Fax:
Mailing address:
  • Phone: 330-878-7115
  • Fax: 330-878-0145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JENNIFER MAHONEY
Title or Position: FISCAL OFFICER
Credential:
Phone: 330-878-7115