Organization
SMITH AMBULANCE OF STARK-SUMMIT INC
Active
Parent organization
SMITH MEDICAL TRANSPORTATION SYSTEMS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMITH MEDICAL TRANSPORTATION SYSTEMS INC
Authorized official
MR. ROBERT L SMITH (PRESIDENT)
(330) 602-4718
Entity
Organization
Contact information
Practice address
214 W 3RD ST, DOVER, OH 44622-2965
(330) 602-5180
(330) 602-5471
Mailing address
1310 ERIE STREET SOUTH, MASSILLON, OH 44646-5545
(330) 837-5748
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
021762800
OH
341600000X
Ambulance
021762801
OH
341600000X
Ambulance
021762802
OH
341600000X
Ambulance
021762803
OH
341600000X
Ambulance
021762806
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000543783
ANTHEM BCBS
OH
05
—
2785035
—
OH
01
—
613142100
FEDERAL WC
OH
Enumeration date
10/09/2007
Last updated
07/19/2012
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