MEDICARE: CITY OF ZANESVILLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	EMS.021243200	OH

General Provider Information

NPI Number	:	1619393725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF ZANESVILLE

Provider Business Mailing Address
First Line	:	332 SOUTH ST
Second Line	:
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-3646
Country	:	US
Telephone Number	:	740-455-0715
Fax Number	:	740-455-0761

Provider Business Practice Location Address
First Line	:	332 SOUTH ST
Second Line	:
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-3646
Country	:	US
Telephone Number	:	740-455-0715
Fax Number	:	740-455-0761

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	JEFFREY F BELL
Credential	:
Telephone Number	:	740-455-0715

Provider Enumeration Date	:	03/13/2014
Last Update Date	:	01/30/2019

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Directions to “CITY OF ZANESVILLE ” Practice Location

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