Healthcare Provider Details

I. General information

NPI: 1336251933
Provider Name (Legal Business Name): MINERAL-SANDY AMBULANCE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8495 S HIGH STREET
MINERAL CITY OH
44656
US

IV. Provider business mailing address

PO BOX 454
MINERAL CITY OH
44656-0454
US

V. Phone/Fax

Practice location:
  • Phone: 330-859-2195
  • Fax: 330-874-4302
Mailing address:
  • Phone: 330-859-2195
  • Fax: 330-874-4302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MAXINE M ELLIOTT
Title or Position: CLERK
Credential:
Phone: 330-859-2195