Organization
JACKSON CENTER RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL LUDWIG (PRESIDENT)
(937) 658-0006
Entity
Organization
Contact information
Practice address
523 N MAIN, JACKSON CENTER, OH 45334
(937) 596-6640
(937) 596-6640
Mailing address
PO BOX 4, JACKSON CENTER, OH 45334-0004
(937) 596-6640
(937) 596-6640
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006165
ANTHEM
OH
05
—
0417712
—
OH
01
—
590009255
RAILROAD MEDICARE
OH
Enumeration date
08/03/2005
Last updated
03/12/2010
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