Organization
COUNTY OF JACKSON
Active
Other names
JACKSON COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HALLER (COMMISSIONER)
(740) 286-0783
Entity
Organization
Contact information
Practice address
260 PATTONSVILLE RD, JACKSON, OH 45640-9452
(740) 286-4231
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000703174
ANTHEM
—
05
—
3133380
—
OH
01
—
P00928606
RAILROAD MEDICARE
—
Enumeration date
10/20/2010
Last updated
04/17/2025
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