Provider Demographics
NPI:1235635202
Name:CENTRAL OHIO EMERGENCY TRANSPORT
Entity Type:Organization
Organization Name:CENTRAL OHIO EMERGENCY TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:HALEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,EMT-P
Authorized Official - Phone:567-333-0275
Mailing Address - Street 1:8197 STATE ROUTE 309
Mailing Address - Street 2:
Mailing Address - City:GALION
Mailing Address - State:OH
Mailing Address - Zip Code:44833-8957
Mailing Address - Country:US
Mailing Address - Phone:567-333-0275
Mailing Address - Fax:
Practice Address - Street 1:8197 STATE ROUTE 309
Practice Address - Street 2:
Practice Address - City:GALION
Practice Address - State:OH
Practice Address - Zip Code:44833
Practice Address - Country:US
Practice Address - Phone:567-333-0275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-30
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH41137683416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport