MEDICARE: FIRELANDS AMBULANCE SERVICE

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	000000155453	OTHER	OH	ANTHEM INSURANCE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861453599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRELANDS AMBULANCE SERVICE

Provider Business Mailing Address
First Line	:	25 JAMES ST
Second Line	:
City	:	NEW LONDON
State	:	OH
Zip	:	44851-1211
Country	:	US
Telephone Number	:	419-929-1487
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 JAMES ST
Second Line	:
City	:	NEW LONDON
State	:	OH
Zip	:	44851-1211
Country	:	US
Telephone Number	:	419-929-1487
Fax Number	:

Authorized Official
Title or Position	:	CLERK
Name	:	LUCINDA AMBURGY
Credential	:
Telephone Number	:	419-929-1487

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	08/29/2024

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Directions to “FIRELANDS AMBULANCE SERVICE ” Practice Location

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