Provider Demographics
NPI:1982769543
Name:SANDUSKY COUNTY OFFICE OF AUDITOR
Entity Type:Organization
Organization Name:SANDUSKY COUNTY OFFICE OF AUDITOR
Other - Org Name:SANDUSKY COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF EMS
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:J
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-332-7313
Mailing Address - Street 1:2100 COUNTRYSIDE PLACE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420
Mailing Address - Country:US
Mailing Address - Phone:419-332-7313
Mailing Address - Fax:419-334-6511
Practice Address - Street 1:2100 COUNTRYSIDE PLACE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420
Practice Address - Country:US
Practice Address - Phone:419-332-7313
Practice Address - Fax:419-334-6511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH590175489OtherRR MEDICARE
OH0294944Medicaid
OH0294944Medicaid