Healthcare Provider Details

I. General information

NPI: 1194742072
Provider Name (Legal Business Name): PIKE CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 11/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 S OLIVER ST
PIKETON OH
45661-8031
US

IV. Provider business mailing address

10361 SPARTAN DR
CINCINNATI OH
45215-1220
US

V. Phone/Fax

Practice location:
  • Phone: 740-947-2995
  • Fax:
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RONALD ISON
Title or Position: EMS DIRECTOR
Credential:
Phone: 740-947-5900