Healthcare Provider Details

I. General information

NPI: 1154531721
Provider Name (Legal Business Name): VILLAGE OF WESTFIELD CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8975 LEROY ROAD
WESTFIELD CENTER OH
44251
US

IV. Provider business mailing address

P O BOX 886
WESTFIELD CENTER OH
44251
US

V. Phone/Fax

Practice location:
  • Phone: 330-887-5541
  • Fax: 330-887-1131
Mailing address:
  • Phone: 330-887-5541
  • Fax: 330-887-1131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JACK SNODDY
Title or Position: CHIEF
Credential:
Phone: 330-887-5541