Healthcare Provider Details

I. General information

NPI: 1174963730
Provider Name (Legal Business Name): VETERAN EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 07/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

549 E FRONT ST
LOGAN OH
43138-1717
US

IV. Provider business mailing address

121 COMMERCE PARK DR SUITE A
WESTERVILLE OH
43082-8349
US

V. Phone/Fax

Practice location:
  • Phone: 614-775-0028
  • Fax:
Mailing address:
  • Phone: 614-890-8846
  • Fax: 614-890-7374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. KEVIN SCHAINKER
Title or Position: CEO
Credential:
Phone: 614-775-0028