Organization
AMBULANCE ASSOCIATES OF CANTON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BABB (CHIEF FINANCIAL OFFICER)
(330) 452-1113
Entity
Organization
Contact information
Practice address
114 CLARENDON AVE NW, CANTON, OH 44708-4623
(330) 452-1113
(330) 452-5344
Mailing address
114 CLARENDON AVE NW, CANTON, OH 44708-4623
(330) 452-1113
(330) 452-5344
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
760052
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155368
ANTHEM BC/BS
OH
05
—
0125493
—
OH
01
—
086930000
FEDERAL BLACK LUNG PROG
OH
Enumeration date
06/16/2005
Last updated
12/07/2012
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