Healthcare Provider Details

I. General information

NPI: 1518039676
Provider Name (Legal Business Name): QUAD AMBULANCE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6930 MINERVA RD SE
WAYNESBURG OH
44688-9320
US

IV. Provider business mailing address

PO BOX 33
WAYNESBURG OH
44688-0033
US

V. Phone/Fax

Practice location:
  • Phone: 330-866-9847
  • Fax: 330-866-2310
Mailing address:
  • Phone: 330-866-9847
  • Fax: 330-866-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number02-0309300
License Number StateOH

VIII. Authorized Official

Name: MR. STEVE VANMETER
Title or Position: EMS CHIEF
Credential:
Phone: 330-866-9847