Provider Demographics
NPI:1609040047
Name:MONROE COUNTY EMERGENCY SQUAD
Entity type:Organization
Organization Name:MONROE COUNTY EMERGENCY SQUAD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-458-0307
Mailing Address - Street 1:PO BOX 2122
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-1122
Mailing Address - Country:US
Mailing Address - Phone:800-926-6985
Mailing Address - Fax:734-479-6319
Practice Address - Street 1:374 LEWISVILLE RD
Practice Address - Street 2:
Practice Address - City:WOODSFIELD
Practice Address - State:OH
Practice Address - Zip Code:43793-9227
Practice Address - Country:US
Practice Address - Phone:740-336-9567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONROE COUNTY EMERGENCY SQUAD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-16
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020629303341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2872888Medicaid
OH=========02OtherOHIO BWC
OH=========05OtherOHIO BWC
OH=========04OtherOHIO BWC
OH=========00OtherOHIO BWC
OH2872888Medicaid
OH=========03OtherOHIO BWC
OH=========04OtherOHIO BWC