Healthcare Provider Details

I. General information

NPI: 1245346493
Provider Name (Legal Business Name): COUNTY OF HOCKING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 STATE ROUTE 664 NORTH
LOGAN OH
43138-8541
US

IV. Provider business mailing address

PO BOX 9150
PADUCAH KY
42002-9150
US

V. Phone/Fax

Practice location:
  • Phone: 740-385-0919
  • Fax: 740-385-8439
Mailing address:
  • Phone: 270-744-9600
  • Fax: 270-744-8642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. CARRIE ALFORD
Title or Position: CHIEF/DIRECTOR
Credential: CHIEF
Phone: 740-385-0919