Provider Demographics
NPI:1154457166
Name:APPLESEED JOINT AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:APPLESEED JOINT AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:R
Authorized Official - Last Name:DRISKILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-365-5853
Mailing Address - Street 1:516 N MAIN STREET
Mailing Address - Street 2:P O BOX 678
Mailing Address - City:ARLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45814-0678
Mailing Address - Country:US
Mailing Address - Phone:419-365-5853
Mailing Address - Fax:419-365-1286
Practice Address - Street 1:516 MAIN ST N
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:45814-0678
Practice Address - Country:US
Practice Address - Phone:419-365-5853
Practice Address - Fax:419-365-1286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0494755Medicaid
OH0494755Medicaid