# MID-OHIO AMBULANCE SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144225772
- **Authorized official:** MELODY A SMITH (VICE PRESIDENT)
- **Authorized official phone:** (740) 654-6100

## Contact information

- **Practice address:** 655 S COLUMBUS ST, LANCASTER, OH 43130
- **Practice address phone:** (740) 654-6100
- **Practice address fax:** (740) 654-6679
- **Mailing address:** PO BOX 985, LANCASTER, OH 43130
- **Mailing address phone:** (740) 654-6100
- **Mailing address fax:** (740) 654-6679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 230042 | OH | Yes |
| 3416L0300X | Land Ambulance | — | OH | — |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 09/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000155019 | ANTHEM BC/BS | OH |
| 01 | — | 0004450573 | AETNA | OH |
| 05 | — | 0325080 | — | OH |
| 01 | — | 071701000008 | CENTRAL BENEFITS | OH |
| 01 | — | 81-80114 | UNITED HEALTHCARE | OH |
| 01 | — | 81-87024 | MAIL HANDLERS INSUR | OH |
| 01 | — | 8180114 | UHC | — |
| 01 | — | 8187024 | ANTHEM | — |
| 01 | — | 863028 | FEDERAL BLACK LUNG | OH |
| 01 | — | 863028 | FED BLK LUNG | — |
| 01 | — | 9727 | CHCS NATIONWIDE INS | OH |
| 01 | — | 9727 | NATIONWIDE | — |
| 01 | — | AN93225250001 | CIGNA | OH |
| 01 | — | AN9322525001 | CIGNA | — |
| 01 | — | G217 | MEDIGOLD | OH |