Provider Demographics
NPI:1477953487
Name:VILLAGE OF YORKVILLE
Entity type:Organization
Organization Name:VILLAGE OF YORKVILLE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-859-5171
Mailing Address - Street 1:139 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43971-1217
Mailing Address - Country:US
Mailing Address - Phone:740-859-5171
Mailing Address - Fax:740-859-5180
Practice Address - Street 1:139 MARKET ST
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:OH
Practice Address - Zip Code:43971-1217
Practice Address - Country:US
Practice Address - Phone:740-859-5171
Practice Address - Fax:740-859-5180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH021330950341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH414480Medicare PIN