MEDICARE: CITY OF HURON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance
2	341600000X	Ambulance	FCY.020459050-13	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00335601	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000370498	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1588657480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF HURON

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9907
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:

Provider Business Practice Location Address
First Line	:	413 MAIN ST
Second Line	:
City	:	HURON
State	:	OH
Zip	:	44839-1652
Country	:	US
Telephone Number	:	419-433-3544
Fax Number	:	419-433-4318

Authorized Official
Title or Position	:	CAPTAIN
Name	:	KURT P. SCHAFER
Credential	:
Telephone Number	:	419-433-3544

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	04/17/2024

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Directions to “CITY OF HURON ” Practice Location

Language	Start Address	Practice Location

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