Healthcare Provider Details

I. General information

NPI: 1356349948
Provider Name (Legal Business Name): HANCO AMBULANCE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 10/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 6TH ST
FINDLAY OH
45840-5146
US

IV. Provider business mailing address

417 6TH ST
FINDLAY OH
45840-5146
US

V. Phone/Fax

Practice location:
  • Phone: 419-422-3838
  • Fax: 419-423-7254
Mailing address:
  • Phone: 419-422-3838
  • Fax: 419-423-7254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number320012
License Number StateOH

VIII. Authorized Official

Name: DAVE CTTKAJ
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 419-423-5497