Provider Demographics
NPI:1528045028
Name:PMP JOINT AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:PMP JOINT AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:KUENZLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-859-3772
Mailing Address - Street 1:5141 TOWNSHIP ROAD 79
Mailing Address - Street 2:
Mailing Address - City:RAWSON
Mailing Address - State:OH
Mailing Address - Zip Code:45881-9636
Mailing Address - Country:US
Mailing Address - Phone:419-859-3772
Mailing Address - Fax:
Practice Address - Street 1:139 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:OH
Practice Address - Zip Code:45858
Practice Address - Country:US
Practice Address - Phone:419-859-3772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance