Provider Demographics
NPI:1780014357
Name:CAS OF WARREN INC
Entity Type:Organization
Organization Name:CAS OF WARREN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ONEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-827-1980
Mailing Address - Street 1:500 N MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3171
Mailing Address - Country:US
Mailing Address - Phone:740-474-7877
Mailing Address - Fax:740-474-8172
Practice Address - Street 1:590 E WESTERN RESERVE RD BLDG 10H
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-3390
Practice Address - Country:US
Practice Address - Phone:330-755-1401
Practice Address - Fax:330-755-1927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-19
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0103457Medicaid