Provider Demographics
NPI:1578681409
Name:VILLAGE OF DRESDEN
Entity Type:Organization
Organization Name:VILLAGE OF DRESDEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-754-3151
Mailing Address - Street 1:PO BOX 539
Mailing Address - Street 2:
Mailing Address - City:DRESDEN
Mailing Address - State:OH
Mailing Address - Zip Code:43821-0539
Mailing Address - Country:US
Mailing Address - Phone:740-754-3151
Mailing Address - Fax:740-754-4005
Practice Address - Street 1:21 WEST 9TH ST.
Practice Address - Street 2:
Practice Address - City:DRESDEN
Practice Address - State:OH
Practice Address - Zip Code:43821-0539
Practice Address - Country:US
Practice Address - Phone:740-754-3151
Practice Address - Fax:740-754-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2163644Medicaid
OH2163644Medicaid