Provider Demographics
NPI:1609919018
Name:OSGOOD AREA LIFE SQUAD INC
Entity Type:Organization
Organization Name:OSGOOD AREA LIFE SQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PLEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-582-2304
Mailing Address - Street 1:PO BOX 101
Mailing Address - Street 2:
Mailing Address - City:OSGOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45351-0101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 W MAIN ST
Practice Address - Street 2:
Practice Address - City:OSGOOD
Practice Address - State:OH
Practice Address - Zip Code:45351-0101
Practice Address - Country:US
Practice Address - Phone:419-582-2216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9175951Medicare PIN