Healthcare Provider Details

I. General information

NPI: 1588657480
Provider Name (Legal Business Name): CITY OF HURON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 MAIN ST
HURON OH
44839-1652
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251-9907
US

V. Phone/Fax

Practice location:
  • Phone: 419-433-3544
  • Fax: 419-433-4318
Mailing address:
  • Phone: 800-962-1484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberFCY.020459050-13
License Number StateOH

VIII. Authorized Official

Name: KURT P. SCHAFER
Title or Position: CAPTAIN
Credential:
Phone: 419-433-3544