Organization
EASTERN AREA SPECIALTY TRANSPORT, INC.
Active
Other names
E.A.S.T.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE HAINES (OWNER)
(937) 780-6520
Entity
Organization
Contact information
Practice address
1000 INDUSTRIAL DRIVE, LEESBURG, OH 45135
(937) 780-6520
(937) 780-6758
Mailing address
PO BOX 368, 1000 INDUSTRIAL DRIVE, LEESBURG, OH 45135-0368
(937) 780-6520
(937) 780-6758
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
02-1229650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2212993
—
OH
Enumeration date
05/18/2006
Last updated
11/12/2009
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