Organization
CENTRAL LORAIN COUNTY JOINT AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN SIEKERES (FISCAL OFFICER)
(440) 823-2061
Entity
Organization
Contact information
Practice address
200 W LORAIN ST, OBERLIN, OH 44074-9628
(440) 823-2061
Mailing address
PO BOX 72657, CLEVELAND, OH 44192-0002
(440) 823-2061
(330) 874-4302
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
021532600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001045423
ANTHEM
OH
Enumeration date
08/28/2016
Last updated
04/19/2023
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