Provider Demographics
NPI:1134265440
Name:VILLAGE OF JUNCTION CITY
Entity type:Organization
Organization Name:VILLAGE OF JUNCTION CITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWVEL
Authorized Official - Suffix:II
Authorized Official - Credentials:FF/EMT-P/FP-C
Authorized Official - Phone:740-684-1064
Mailing Address - Street 1:PO BOX 392907
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:
Practice Address - Street 1:109 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OH
Practice Address - Zip Code:43748
Practice Address - Country:US
Practice Address - Phone:740-987-3001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2071234Medicaid
OH000000155004OtherANTHEM
OH590012685OtherRR MEDICARE