# COURTESY AMBULANCE, INC.

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

## Provider details

- **NPI number:** 1982668174
- **Authorized official:** MRS. EILEEN SCARRETT-DUDGEON (PRESIDENT)
- **Authorized official phone:** (740) 522-8588

## Contact information

- **Practice address:** 1890 W MAIN ST, NEWARK, OH 43055-1134
- **Practice address phone:** (740) 522-8588
- **Practice address fax:** (740) 522-3031
- **Mailing address:** 1890 W MAIN ST, NEWARK, OH 43055-1134
- **Mailing address phone:** (740) 522-8588
- **Mailing address fax:** (740) 522-3031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 450012 | OH | Yes |

## Other

- **Enumeration date:** 04/14/2006
- **Last updated:** 08/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000001550300 | ANTHEM BLUE CROSS BLUE SH | OH |
| 05 | — | 0713860 | — | OH |
| 05 | — | 9890010000 | — | WV |