Provider Demographics
NPI:1508855388
Name:COUNTY OF SENECA OHIO COUNTY OFFICE OF AUDITOR
Entity Type:Organization
Organization Name:COUNTY OF SENECA OHIO COUNTY OFFICE OF AUDITOR
Other - Org Name:SENECA COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:KELBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:419-447-0266
Mailing Address - Street 1:126 HOPEWELL AVE
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-2636
Mailing Address - Country:US
Mailing Address - Phone:419-447-0266
Mailing Address - Fax:419-448-5064
Practice Address - Street 1:126 HOPEWELL AVE
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-2636
Practice Address - Country:US
Practice Address - Phone:419-447-0266
Practice Address - Fax:419-448-5064
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF SENECA OHIO COUNTY OFFICE OF AUDITOR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-14
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH486980001OtherCARESOURCE
OH990011544OtherRAILROAD MEDICARE
OH000000156073OtherANTHEM BCBS
OH0377668Medicaid
OH990011544OtherRAILROAD MEDICARE
OH0377668Medicaid
OH=========007OtherMEDICAL MUTUAL OF OHIO