Provider Demographics
NPI:1265624431
Name:HENRY COUNTY SOUTH JOINT AMBULANCE
Entity type:Organization
Organization Name:HENRY COUNTY SOUTH JOINT AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTERMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-274-2055
Mailing Address - Street 1:625 EDGERTON STREET
Mailing Address - Street 2:
Mailing Address - City:HAMLER
Mailing Address - State:OH
Mailing Address - Zip Code:43524
Mailing Address - Country:US
Mailing Address - Phone:419-274-2055
Mailing Address - Fax:419-274-3755
Practice Address - Street 1:625 EDGERTON STREET
Practice Address - Street 2:
Practice Address - City:HAMLER
Practice Address - State:OH
Practice Address - Zip Code:43524
Practice Address - Country:US
Practice Address - Phone:419-274-2055
Practice Address - Fax:419-274-3755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport