Provider Demographics
NPI:1295743185
Name:SWISS VALLEY JOINT AMBULANCE DISTRICT
Entity type:Organization
Organization Name:SWISS VALLEY JOINT AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-897-4464
Mailing Address - Street 1:214 WEST THIRD ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622
Mailing Address - Country:US
Mailing Address - Phone:330-602-5180
Mailing Address - Fax:330-602-5471
Practice Address - Street 1:102 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BALTIC
Practice Address - State:OH
Practice Address - Zip Code:43804-9094
Practice Address - Country:US
Practice Address - Phone:330-897-4464
Practice Address - Fax:330-897-1044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0542627Medicaid
OH000000155478OtherANTHEM
OH0542627Medicaid