| Organization Name: | CORPORATION OF VILLAGE OF PORT WILLIAM |
| NPI Number: | 1427189604 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEN IANSON (MAYOR) |
| Mailing Address: | 220 Second St Port William |
| State: | OH US |
| Postal Code: | 45164 |
| Phone Number: | 9373027010 |
| Fax Number: | 9374865300 |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 05/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |