MEDICARE: AUBLE FUNERAL HOME, INC.

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	343900000X	Non-emergency Medical Transport (VAN)		OH
2	3416L0300X	Land Ambulance	850027	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000155344	OTHER	OH	ANTHEM BC/BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356346498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUBLE FUNERAL HOME, INC.

Provider Business Mailing Address
First Line	:	512 E OAK ST
Second Line	:
City	:	ORRVILLE
State	:	OH
Zip	:	44667-2420
Country	:	US
Telephone Number	:	330-682-2966
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 E OAK ST
Second Line	:
City	:	ORRVILLE
State	:	OH
Zip	:	44667-2420
Country	:	US
Telephone Number	:	330-682-2966
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. MARK A. AUBLE
Credential	:	EMT-P
Telephone Number	:	330-682-2966

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/04/2009

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Directions to “AUBLE FUNERAL HOME, INC. ” Practice Location

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