# SOUTHEASTERN HARDIN AMBULANCE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeast Hardin Ambulance District
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679624480
- **Authorized official:** LYNDA S. VERMILLION (FISCAL OFFICER)
- **Authorized official phone:** (937) 363-2134

## Contact information

- **Practice address:** 212 SOUTH WHEELER ST, MT. VICTORY, OH 43340
- **Practice address phone:** (937) 363-2134
- **Mailing address:** P.O. BOX 85, MT. VICTORY, OH 43340
- **Mailing address phone:** (937) 593-9748

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 02/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0268973 | — | OH |