# JACKSON CENTER RESCUE SQUAD INC

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

## Provider details

- **NPI number:** 1285635060
- **Authorized official:** JILL LUDWIG (PRESIDENT)
- **Authorized official phone:** (937) 658-0006

## Contact information

- **Practice address:** 523 N MAIN, JACKSON CENTER, OH 45334
- **Practice address phone:** (937) 596-6640
- **Practice address fax:** (937) 596-6640
- **Mailing address:** PO BOX 4, JACKSON CENTER, OH 45334-0004
- **Mailing address phone:** (937) 596-6640
- **Mailing address fax:** (937) 596-6640

## Taxonomy

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

## Other

- **Enumeration date:** 08/03/2005
- **Last updated:** 03/12/2010