Provider Demographics
NPI:1265466569
Name:HARRISON COUNTY
Entity Type:Organization
Organization Name:HARRISON COUNTY
Other - Org Name:HARRISON COUNTY EMERGENCY SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ASTACHEA
Authorized Official - Middle Name:M
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-942-8867
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:
Mailing Address - City:CADIZ
Mailing Address - State:OH
Mailing Address - Zip Code:43907-0175
Mailing Address - Country:US
Mailing Address - Phone:740-942-4623
Mailing Address - Fax:740-942-4090
Practice Address - Street 1:100 WEST MARKET STREET
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:OH
Practice Address - Zip Code:43907-1132
Practice Address - Country:US
Practice Address - Phone:740-942-4623
Practice Address - Fax:740-942-4090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHN6001338OtherHEALTH PLAN
OH0257261Medicaid
OH590532012OtherRAILROAD
OH863223OtherBLACK LUNG
OHN6001338OtherHEALTH PLAN