Provider Demographics
NPI:1578628962
Name:WEST LIBERTY EMS
Entity Type:Organization
Organization Name:WEST LIBERTY EMS
Other - Org Name:VILLAGE OF WEST LIBERTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLERK TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CINDEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-465-2716
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:WEST LIBERTY
Mailing Address - State:OH
Mailing Address - Zip Code:43357-0187
Mailing Address - Country:US
Mailing Address - Phone:937-465-2716
Mailing Address - Fax:
Practice Address - Street 1:112 EAST NEWELL STREET
Practice Address - Street 2:
Practice Address - City:WEST LIBERTY
Practice Address - State:OH
Practice Address - Zip Code:43357
Practice Address - Country:US
Practice Address - Phone:937-465-2716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance