Organization
SMITH AMBULANCE OF NORTH EAST OH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L SMITH (PRESIDENT)
(300) 602-5180
Entity
Organization
Contact information
Practice address
1344 WEST OLD LINCOLN WAY, WOOSTER, OH 44691
(330) 262-5517
(330) 602-5471
Mailing address
214 WEST THIRD ST, DOVER, OH 44622-2965
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000239568
ANTHEM
OH
05
—
2341657
—
OH
Enumeration date
07/22/2006
Last updated
08/22/2020
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