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Organization

MID-OHIO AMBULANCE SERVICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELODY A SMITH (VICE PRESIDENT)
(740) 654-6100
Entity
Organization

Contact information

Practice address
655 S COLUMBUS ST, LANCASTER, OH 43130
(740) 654-6100
(740) 654-6679
Mailing address
PO BOX 985, LANCASTER, OH 43130
(740) 654-6100
(740) 654-6679

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
230042
OH
3416L0300X
Land Ambulance
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000155019
ANTHEM BC/BS
OH
01
0004450573
AETNA
OH
01
0004450573
AETNA
05
0325080
OH
01
071701000008
CENTRAL BENEFITS
OH
01
81-80114
UNITED HEALTHCARE
OH
01
81-87024
MAIL HANDLERS INSUR
OH
01
8180114
UHC
01
8187024
ANTHEM
01
863028
FEDERAL BLACK LUNG
OH
01
863028
FED BLK LUNG
01
9727
CHCS NATIONWIDE INS
OH
01
9727
NATIONWIDE
01
AN93225250001
CIGNA
OH
01
AN9322525001
CIGNA
01
G217
MEDIGOLD
OH
Enumeration date
06/20/2005
Last updated
09/02/2008
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