Organization
L.J.LEWIS ENTERPRISES, INC
Active
Other names
ACTION AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L POPADAK (PRESIDENT)
(330) 369-3600
Entity
Organization
Contact information
Practice address
421 SOUTH ST SE, WARREN, OH 44483-5719
(330) 369-3600
(330) 395-0110
Mailing address
421 SOUTH ST SE, WARREN, OH 44483-5719
(330) 369-3600
(330) 395-0110
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
780012
OH
3416L0300X
Land Ambulance
780012
OH
343900000X
Non-emergency Medical Transport (VAN)
780012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155679
ANTHEM
OH
05
—
0698044
—
OH
Enumeration date
07/13/2005
Last updated
01/29/2008
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