Sycamore Village Office of Clerk
Organization Active NPI Land Ambulance · Sycamore, OH
NPI 1073509121 · NPPES record last updated Nov 26, 2012
Key facts
- NPI
- 1073509121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- SYCAMORE VILLAGE OFFICE OF CLERK
- Practice address
- 106 E Seventh St
Sycamore, OH 44849 - Phone
- (419) 927-2900
- Fax
- (419) 927-2988
- NPI assigned
- Sep 23, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Bryan Clouse
- Title
- Chief
- Phone
- (419) 397-2063
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 020299904 | OH | |
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
106 E Seventh St
Sycamore, OH 44849
Mailing address
PO Box 77
106 E Seventh Street
Sycamore, OH 44882-0077
Phone (419) 927-2900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0259081 | Medicaid | OH | |
| 590007226 | Other | OH | RAILROAD MEDICARE PROVIDE |
Other names
- Sycamore Ambulance Service
Other providers in Sycamore, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.