Provider Demographics
NPI:1649277054
Name:STOFCHECK AMBULANCE SERVICE INC
Entity type:Organization
Organization Name:STOFCHECK AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOFCHECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-499-2200
Mailing Address - Street 1:PO BOX 333
Mailing Address - Street 2:220 S HIGH STREET
Mailing Address - City:LA RUE
Mailing Address - State:OH
Mailing Address - Zip Code:43332-0333
Mailing Address - Country:US
Mailing Address - Phone:740-499-2200
Mailing Address - Fax:740-499-3617
Practice Address - Street 1:220 S HIGH ST
Practice Address - Street 2:
Practice Address - City:LA RUE
Practice Address - State:OH
Practice Address - Zip Code:43332-8881
Practice Address - Country:US
Practice Address - Phone:740-499-2200
Practice Address - Fax:740-499-3617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH510032341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0157002Medicaid
OH9000392Medicare ID - Type UnspecifiedPROVIDER NUMBER
OH9207673Medicare ID - Type UnspecifiedPROVIDER NUMBER
OH9207672Medicare ID - Type UnspecifiedPROVIDER NUMBER