Provider Demographics
NPI:1326132176
Name:CLERKS OFFICE VILLAGE OF GROVER HILL
Entity Type:Organization
Organization Name:CLERKS OFFICE VILLAGE OF GROVER HILL
Other - Org Name:GROVER HILL FIRE AND EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-800-2685
Mailing Address - Street 1:104 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GROVER HILL
Mailing Address - State:OH
Mailing Address - Zip Code:45849-9515
Mailing Address - Country:US
Mailing Address - Phone:419-587-3700
Mailing Address - Fax:419-587-3867
Practice Address - Street 1:104 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GROVER HILL
Practice Address - State:OH
Practice Address - Zip Code:45849-9515
Practice Address - Country:US
Practice Address - Phone:419-587-3700
Practice Address - Fax:419-587-3867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-1569050 003603416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport