# SCIOTO AMBULANCE DISTRICT

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

## Provider details

- **NPI number:** 1144302084
- **Authorized official:** LLOYD W EICHENLAUB (FISCAL OFFICER)
- **Authorized official phone:** (740) 259-0755

## Contact information

- **Practice address:** 57 BARKER STREET, MCDERMOTT, OH 45652
- **Practice address phone:** (740) 259-4767
- **Mailing address:** PO BOX 392907, PITTSBURGH, PA 15251-9907
- **Mailing address phone:** (800) 962-1484
- **Mailing address fax:** (513) 772-4464

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 08/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000380084 | ANTHEM | — |
| 05 | — | 2576270 | — | OH |
| 01 | — | P00249560 | RAILROAD MEDICARE | — |