Provider Demographics
NPI:1386188787
Name:COUNTY OF DELAWARE
Entity type:Organization
Organization Name:COUNTY OF DELAWARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EMS
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-833-2190
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-0158
Mailing Address - Country:US
Mailing Address - Phone:855-626-9660
Mailing Address - Fax:833-953-0588
Practice Address - Street 1:909 US HIGHWAY 23 N
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-7998
Practice Address - Country:US
Practice Address - Phone:740-833-2193
Practice Address - Fax:740-833-2189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020313350-13341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000001068270OtherANTHEM
OHP01803164OtherRAILROAD MEDICARE
OH000001068270OtherANTHEM