Provider Demographics
NPI:1972537827
Name:COSHOCTON COUNTY EMS, LLC
Entity Type:Organization
Organization Name:COSHOCTON COUNTY EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:ANSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-734-8031
Mailing Address - Street 1:513 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1210
Mailing Address - Country:US
Mailing Address - Phone:740-622-4294
Mailing Address - Fax:740-622-4829
Practice Address - Street 1:513 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1210
Practice Address - Country:US
Practice Address - Phone:740-622-4294
Practice Address - Fax:740-622-4829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2165053Medicaid
OH9305661Medicare ID - Type UnspecifiedMEDICARE