Healthcare Provider Details

I. General information

NPI: 1225011232
Provider Name (Legal Business Name): MINSTER AREA LIFE SQUAD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 S JEFFERSON ST
MINSTER OH
45865-1339
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251-9907
US

V. Phone/Fax

Practice location:
  • Phone: 419-628-2001
  • Fax: 419-628-3350
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. KEITH KEMPER
Title or Position: TREASURER
Credential:
Phone: 419-628-2001