# COUNTY OF JACKSON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JACKSON COUNTY EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851601132
- **Authorized official:** PAUL HALLER (COMMISSIONER)
- **Authorized official phone:** (740) 286-0783

## Contact information

- **Practice address:** 260 PATTONSVILLE RD, JACKSON, OH 45640-9452
- **Practice address phone:** (740) 286-4231
- **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:** 10/20/2010
- **Last updated:** 04/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000703174 | ANTHEM | — |
| 05 | — | 3133380 | — | OH |
| 01 | — | P00928606 | RAILROAD MEDICARE | — |
