Organization
CC&S AMBULANCE INC
Active
Other names
Bartley Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE MARIE VIOLA (PRESIDENT)
(330) 868-4114
Entity
Organization
Contact information
Practice address
208 N MAIN ST, MINERVA, OH 44657-1647
(330) 868-4114
(330) 868-5007
Mailing address
PO BOX 374, MINERVA, OH 44657-0374
(330) 868-4114
(330) 868-5007
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3416L0300X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155809
ANTHEM
OH
01
—
000000227102
HIGHMARK
OH
01
—
0004468230
AETNA
OH
05
—
0959208
—
OH
01
—
800350
BLACK LUNG
OH
Enumeration date
04/21/2006
Last updated
08/22/2020
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