Organization
CARLSON AMBULANCE TRANSPORT SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK E CARLSON FUNERAL DIRECTOR (PRESIDENT)
(330) 225-2400
Entity
Organization
Contact information
Practice address
1642 PEARL RD, BRUNSWICK, OH 44212-3406
(330) 225-2400
(330) 225-6486
Mailing address
1642 PEARL RD, BRUNSWICK, OH 44212-3406
(330) 225-2400
(330) 225-6486
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
520032
OH
343900000X
Non-emergency Medical Transport (VAN)
525015
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1314429
—
OH
Enumeration date
09/22/2006
Last updated
02/06/2008
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