Provider Demographics
NPI:1942440599
Name:ADAMS COUNTY AUDITOR
Entity Type:Organization
Organization Name:ADAMS COUNTY AUDITOR
Other - Org Name:ADAMS COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLEESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-544-7844
Mailing Address - Street 1:10361 SPARTAN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1220
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:513-772-4464
Practice Address - Street 1:150 MARBLE FURNACE RD
Practice Address - Street 2:
Practice Address - City:PEEBLES
Practice Address - State:OH
Practice Address - Zip Code:45660-1215
Practice Address - Country:US
Practice Address - Phone:937-544-3286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2963066Medicaid
000000605816OtherANTHEM
000000605816OtherANTHEM
=========005OtherMEDICAL MUTUAL
9381951Medicare PIN