Healthcare Provider Details

I. General information

NPI: 1861453599
Provider Name (Legal Business Name): FIRELANDS AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 JAMES ST
NEW LONDON OH
44851-1211
US

IV. Provider business mailing address

25 JAMES ST
NEW LONDON OH
44851-1211
US

V. Phone/Fax

Practice location:
  • Phone: 419-929-1487
  • Fax:
Mailing address:
  • Phone: 419-929-1487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LUCINDA AMBURGY
Title or Position: CLERK
Credential:
Phone: 419-929-1487