Provider Demographics
NPI:1356346498
Name:AUBLE FUNERAL HOME, INC.
Entity type:Organization
Organization Name:AUBLE FUNERAL HOME, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:AUBLE
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:330-682-2966
Mailing Address - Street 1:512 E OAK ST
Mailing Address - Street 2:
Mailing Address - City:ORRVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44667-2420
Mailing Address - Country:US
Mailing Address - Phone:330-682-2966
Mailing Address - Fax:
Practice Address - Street 1:512 E OAK ST
Practice Address - Street 2:
Practice Address - City:ORRVILLE
Practice Address - State:OH
Practice Address - Zip Code:44667-2420
Practice Address - Country:US
Practice Address - Phone:330-682-2966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
OH8500273416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000155344OtherANTHEM BC/BS
OH0310407Medicaid
OH0310407Medicaid
OH9016031Medicare ID - Type UnspecifiedMEDICARE
OH0310407Medicaid