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NPI Code Detail

MEDICARE: DONALD MARTENS & SONS AMBULANCE SERVICE INC.

MEDICARE: DONALD MARTENS & SONS AMBULANCE SERVICE 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
1146L00000XParamedic180022OH
23416L0300XLand Ambulance

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000155547OTHEROHANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821091893
Entity Type Code : Organization
Provider Name (Legal Business Name) : DONALD MARTENS & SONS AMBULANCE SERVICE INC.
Provider Business Mailing Address
First Line : 10830 BROOKPARK RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44130-1119
Country : US
Telephone Number : 440-234-6000
Fax Number : 440-234-8371
Provider Business Practice Location Address
First Line : 10830 BROOKPARK RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44130-1119
Country : US
Telephone Number : 440-234-6000
Fax Number : 440-234-8371
Authorized Official
Title or Position : OWNER
Name : MR. DEAN MARTENS
Credential :
Telephone Number : 440-234-6000
Provider Enumeration Date : 05/24/2005
Last Update Date : 04/22/2021

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Directions to “DONALD MARTENS & SONS AMBULANCE SERVICE INC. ” Practice Location

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