Provider Demographics
NPI:1508206053
Name:FIRST CARE OHIO, LLC
Entity Type:Organization
Organization Name:FIRST CARE OHIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT BUSINESS DEVELOPMENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOBROSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-467-5565
Mailing Address - Street 1:6943 WALES RD
Mailing Address - Street 2:
Mailing Address - City:NORTHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:43619-1075
Mailing Address - Country:US
Mailing Address - Phone:419-661-8815
Mailing Address - Fax:419-661-8816
Practice Address - Street 1:6943 WALES RD
Practice Address - Street 2:
Practice Address - City:NORTHWOOD
Practice Address - State:OH
Practice Address - Zip Code:43619-1075
Practice Address - Country:US
Practice Address - Phone:419-661-8815
Practice Address - Fax:419-661-8816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
OH3103223416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0075846Medicaid
OH0075846Medicaid