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Organization

COURTESY AMBULANCE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EILEEN SCARRETT-DUDGEON (PRESIDENT)
(740) 522-8588
Entity
Organization

Contact information

Practice address
1890 W MAIN ST, NEWARK, OH 43055-1134
(740) 522-8588
(740) 522-3031
Mailing address
1890 W MAIN ST, NEWARK, OH 43055-1134
(740) 522-8588
(740) 522-3031

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
450012
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000001550300
ANTHEM BLUE CROSS BLUE SH
OH
05
0713860
OH
05
9890010000
WV
Enumeration date
04/14/2006
Last updated
08/15/2023
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