SPENCERVILLE AMBULANCE SERVICE NPI 1215088315

NPI Information

SPENCERVILLE AMBULANCE SERVICE is a land transport ambulance in Spencerville, OH. SPENCERVILLE AMBULANCE SERVICE NPI is 1215088315. The provider is registered as an organization entity type.

The provider's business location address is:

111 S PEARL ST
SPENCERVILLE, OH
ZIP 45887-250
Phone: (419) 647-6369

The provider's authorized official is Julie Sheets .
The authorized official title is President and has the following contact phone number (419) 647-6369.

The CLIA number assigned to this NPI record is 36D0691045 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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