Provider Demographics
NPI:1861647315
Name:LUCAS COUNTY AUDITOR
Entity Type:Organization
Organization Name:LUCAS COUNTY AUDITOR
Other - Org Name:LUCAS COUNTY EMERGENCY MEDICAL SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORLOW
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:419-213-6513
Mailing Address - Street 1:PO BOX 951338
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0011
Mailing Address - Country:US
Mailing Address - Phone:937-424-3701
Mailing Address - Fax:937-291-2971
Practice Address - Street 1:2144 MONROE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-7122
Practice Address - Country:US
Practice Address - Phone:419-213-6510
Practice Address - Fax:419-213-6520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3018164Medicaid
OH000000643713OtherANTHEM
OH3018164Medicaid