Polk Jackson Perry Volunteer Firefighters & Squadpersons Assici

NPI #1114919081 in Polk, Ohio

Provider Information

NPI Number: 1114919081
Entity Type: Organization
Organization Name: Polk Jackson Perry Volunteer Firefighters & Squadpersons Assici
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Aug 17, 2005
Last Updated: May 14, 2024

Practice Location

Address: 209 E CONGRESS ST
City: Polk
State: Ohio
ZIP Code: 44866-9701
Phone: (419) 945-2681

Authorized Official

Name: KATHLEEN WILEY
Title: FISCAL OFFICER
Phone: (419) 945-2681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance - Land Transport — Land Transport	3416L0300X	Primary

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