Organization
MINFORD EMERGENCY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PORTER (SQUAD CHIEF)
(740) 820-2190
Entity
Organization
Contact information
Practice address
8466 STATE ROUTE 335, MINFORD, OH 45653
(740) 820-3700
(740) 820-3700
Mailing address
3846 KENTUCKY TRAIL RD, P. O. BOX 58, MINFORD, OH 45653-8899
(740) 820-2190
(740) 820-2190
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
485660
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2418833
—
OH
Enumeration date
02/07/2007
Last updated
08/22/2020
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