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Organization
CITIZENS AMBULANCE SERVICE INC
Active
Organization
CITIZENS AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCAS PALM PARAMEDIC (EMS COORDINATOR)
(440) 839-2144
Entity
Organization
Contact information
Practice address
19 RAILROAD ST, WAKEMAN, OH 44889
(440) 839-2144
(440) 839-1481
Mailing address
PO BOX 224, 19 RAILROAD ST, WAKEMAN, OH 44889
(440) 839-2144
(440) 839-1481
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155451
ANTHEM BCBS
KY
05
—
0384445
—
OH
01
—
590000907
RAILROAD MEDICARE
—
01
—
9163191
MEDICARE
OH
01
—
=========
MEDICAL MUT
OH
Enumeration date
12/28/2006
Last updated
05/09/2024
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