Organization
INDIAN LAKE EMS JOINT AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNA G. PITTENGER (EMS CHIEF)
(937) 843-3000
Entity
Organization
Contact information
Practice address
301 N OAK ST, LAKEVIEW, OH 43331-9479
(937) 843-3000
(937) 843-5165
Mailing address
PO BOX 6, LAKEVIEW, OH 43331-0006
(937) 843-3000
(937) 843-5165
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0353906
—
OH
Enumeration date
03/04/2006
Last updated
05/03/2013
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