Provider Demographics
NPI:1760185888
Name:PEBBLE TOWNSHIP
Entity Type:Organization
Organization Name:PEBBLE TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:OYER
Authorized Official - Suffix:II
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:740-222-2625
Mailing Address - Street 1:330 CARL PENN RD
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-9101
Mailing Address - Country:US
Mailing Address - Phone:740-947-7000
Mailing Address - Fax:
Practice Address - Street 1:330 CARL PENN RD
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-9101
Practice Address - Country:US
Practice Address - Phone:740-947-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance