Healthcare Provider Details

I. General information

NPI: 1619969318
Provider Name (Legal Business Name): CITY AUDITOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1596 E MAIN ST
LANCASTER OH
43130-3472
US

IV. Provider business mailing address

PO BOX 2055
MOUNT VERNON OH
43050-7255
US

V. Phone/Fax

Practice location:
  • Phone: 740-687-6640
  • Fax: 740-681-5008
Mailing address:
  • Phone: 740-687-6640
  • Fax: 740-681-5008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: SLADE SCHULTZ
Title or Position: ASSISTANT CHIEF
Credential:
Phone: 740-687-6640