Organization
BROOKESIDE AMBULETTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD SCHNABEL (PRESIDENTOWNER)
(419) 269-1660
Entity
Organization
Contact information
Practice address
255 GRADOLPH ST, TOLEDO, OH 43612-1461
(419) 269-1660
(419) 269-1154
Mailing address
255 GRADOLPH ST, TOLEDO, OH 43612-1461
(419) 269-1660
(419) 269-1154
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
485055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0963159
—
OH
Enumeration date
11/29/2006
Last updated
08/22/2020
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