JACKSON CENTER RESCUE SQUAD INC


Address: 523 N Main, Jackson Center, OH 45334
Phone: 9375966640

JACKSON CENTER RESCUE SQUAD INC (NPI# 1285635060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285635060
Entity Type Organization
Organization Name JACKSON CENTER RESCUE SQUAD INC
Practice Address 523 N Main
Jackson Center
OH 45334
Mailing Address Po Box 4
Jackson Center
OH 45334-0004
Practice Telephone 9375966640
Practice Fax Number 9375966640
Mailing Telephone 9375966640
Mailing Fax Number 9375966640
Enumeration Date 2005-08-03
Last Update Date 2010-03-12
Authorized Official Name JILL LUDWIG (PRESIDENT)
Authorized Official Telephone 9376580006
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
OH 0417712 05
OH ANTHEM 000000006165 01
OH RAILROAD MEDICARE 590009255 01

Office Location

Street Address 523 N MAIN
City JACKSON CENTER
State OH
Zip Code 45334

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629388103 Jason Aukerman Student in an Organized Health Care Education/Training Program 312 W. College St, Jackson Center, OH 45334 2010-10-18
1245442037 Primary Eyecare Associates Inc Optometrist 103 E. Pike St., Jackson Center, OH 45334 2007-05-04
1073694238 Huffer Chiropractic, Inc. Chiropractor 307 S. Main St., Jackson Center, OH 45334 2006-10-17
1245265156 Kreg Huffer Chiropractor 307 S. Main St, Jackson Center, OH 45334 2006-07-11
1508800574 Jason E Hartle Chiropractor 307 South Main St., Jackson Center, OH 45334 2006-06-16
1265471924 Travis M Elsass Chiropractor 307 South Main Street Box 647, Jackson Center, OH 45334 2006-06-06
1598879579 Wapak Pharmacy Inc Pharmacy 101 E Pike St, Jackson Center, OH 45334 2006-08-18
1225182256 Mann Family Care Ltd Family Medicine 805 East Pike Street, Jackson Center, OH 45334-0626 2007-01-23
1265437354 Cheryl A Mann Family Medicine 805 E Pike St, Jackson Center, OH 45334-0626 2005-06-16
1295973261 Jackson Center Local Schools Local Education Agency (LEA) 204 South Linden Street, Jackson Center, OH 45334-0849 2009-01-29
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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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Competitor

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City JACKSON CENTER
Zip Code 45334

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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