Provider Demographics
NPI:1235745878
Name:CARROLL HILLS INDUSTRIES, INC.
Entity Type:Organization
Organization Name:CARROLL HILLS INDUSTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER (CEO)
Authorized Official - Prefix:MR
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:330-627-5524
Mailing Address - Street 1:PO BOX 567
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:44615-0567
Mailing Address - Country:US
Mailing Address - Phone:330-627-5524
Mailing Address - Fax:330-627-6605
Practice Address - Street 1:1182 ROSWELL RD. NW
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:44615
Practice Address - Country:US
Practice Address - Phone:330-627-5524
Practice Address - Fax:330-627-6605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)