MEDICARE: MOUNT CARMEL CARE CONTINUUM SERVICE CORPORATION

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	341600000X	Ambulance	250079	OH

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	:	1285671073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNT CARMEL CARE CONTINUUM SERVICE CORPORATION

Provider Business Mailing Address
First Line	:	1165 DUBLIN RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-1005
Country	:	US
Telephone Number	:	614-234-0300
Fax Number	:	614-234-0306

Provider Business Practice Location Address
First Line	:	1165 DUBLIN RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-1005
Country	:	US
Telephone Number	:	614-234-0300
Fax Number	:	614-234-0306

Authorized Official
Title or Position	:	SR. VICE PRESIDENT & CFO
Name	:	MR. JACQUELINE A. PRIMEAU
Credential	:
Telephone Number	:	614-546-4301

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	04/16/2008

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Directions to “MOUNT CARMEL CARE CONTINUUM SERVICE CORPORATION ” Practice Location

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