MEDICARE: APPLESEED JOINT AMBULANCE DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154457166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLESEED JOINT AMBULANCE DISTRICT

Provider Business Mailing Address
First Line	:	516 N MAIN STREET
Second Line	:	P O BOX 678
City	:	ARLINGTON
State	:	OH
Zip	:	45814-0678
Country	:	US
Telephone Number	:	419-365-5853
Fax Number	:	419-365-1286

Provider Business Practice Location Address
First Line	:	516 MAIN ST N
Second Line	:
City	:	ARLINGTON
State	:	OH
Zip	:	45814-0678
Country	:	US
Telephone Number	:	419-365-5853
Fax Number	:	419-365-1286

Authorized Official
Title or Position	:	CLERK
Name	:	BETHANY R DRISKILL
Credential	:
Telephone Number	:	419-365-5853

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	11/01/2018

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Directions to “APPLESEED JOINT AMBULANCE DISTRICT ” Practice Location

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