Provider Demographics
NPI:1467281881
Name:EAGLEVILLE JOINT AMBULANCE DISTRICT
Entity type:Organization
Organization Name:EAGLEVILLE JOINT AMBULANCE DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MARKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-561-8316
Mailing Address - Street 1:4657 EMERSON RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMDALE
Mailing Address - State:OH
Mailing Address - Zip Code:44817-9769
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3995 EAGLEVILLE RD
Practice Address - Street 2:
Practice Address - City:FOSTORIA
Practice Address - State:OH
Practice Address - Zip Code:44830-9743
Practice Address - Country:US
Practice Address - Phone:419-701-4201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport