# MARIETTA AMBULANCE SERVICE LTD

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

## Provider details

- **NPI number:** 1861785677
- **Authorized official:** ROGER ANDERSON (OWNER)
- **Authorized official phone:** (740) 373-1494

## Contact information

- **Practice address:** 101 PUTNAM ST, MARIETTA, OH 45750-2924
- **Practice address phone:** (740) 373-1494
- **Mailing address:** 836 4TH AVE, HUNTINGTON, WV 25701-1407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 840042 | OH | Yes |

## Other

- **Enumeration date:** 05/26/2011
- **Last updated:** 05/26/2011