| NPI | 1306847017 |
|---|---|
| Other Name | VILLAGE OF SHADYSIDE |
| Entity Type | Organization |
| Authorized Contact | DAVID LENZ Chief 740-676-1910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: OH 020313700) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: OH 02031370013) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2014-03-20 |