JACKSON CENTER RESCUE SQUAD INC; NPI #1285635060

Contact Information

JACKSON CENTER RESCUE SQUAD INC

523 N MAIN
JACKSON CENTER, OH 45334

Phone: 937-596-6640
Fax: 937-596-6640
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for JACKSON CENTER RESCUE SQUAD INC

NPI Number 1285635060

LBN Legal business name JACKSON CENTER RESCUE SQUAD INC

Authorized official JILL LUDWIG - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/03/2005

Last updated 03/12/2010 - About 16 years ago

Identifiers

OH	Medicaid	0417712
OH	Other	000000006165	ANTHEM
OH	Other	590009255	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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