Organization
J&C AMBULANCE SERVICE, INC.
Active
Other names
LifeCare Medical Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JACOB JOSEPH (OWNER)
(330) 899-0022
Entity
Organization
Contact information
Practice address
7100 WHIPPLE AVENUE NW, SUITE G, NORTH CANTON, OH 44720-7167
(330) 899-0022
(330) 484-2932
Mailing address
7100 WHIPPLE AVENUE NW, SUITE G, NORTH CANTON, OH 44720-7167
(330) 899-0022
(330) 484-2932
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
760082
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195082
ANTHEM
OH
01
—
080039100
FEDERAL BLACK LUNG
OH
01
—
128375200
US DEPARTMENT OF LABOR
OH
05
—
2169540
—
OH
05
—
2169577
—
OH
05
—
2209658
—
OH
05
—
2286048
—
OH
05
—
2319708
—
OH
05
—
2403698
—
OH
Enumeration date
07/28/2005
Last updated
01/03/2019
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