Provider Demographics
NPI:1962630129
Name:SOUTHEASTERN OHIO AIR SERVICE, INC.
Entity Type:Organization
Organization Name:SOUTHEASTERN OHIO AIR SERVICE, INC.
Other - Org Name:ZANESVILLE AVIATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-452-3625
Mailing Address - Street 1:850 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-0971
Mailing Address - Country:US
Mailing Address - Phone:740-452-3625
Mailing Address - Fax:740-452-1446
Practice Address - Street 1:850 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-0971
Practice Address - Country:US
Practice Address - Phone:740-452-3625
Practice Address - Fax:740-452-1446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDXGA393D3416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport