Provider Demographics
NPI:1902064132
Name:COUNTY OF COSHOCTON
Entity Type:Organization
Organization Name:COUNTY OF COSHOCTON
Other - Org Name:COSHOCTON COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:SHROYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-622-4294
Mailing Address - Street 1:PO BOX 2071
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-7271
Mailing Address - Country:US
Mailing Address - Phone:270-744-9600
Mailing Address - Fax:270-744-8642
Practice Address - Street 1:724 WALNUT STREET
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1210
Practice Address - Country:US
Practice Address - Phone:740-622-4294
Practice Address - Fax:740-622-4829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0283107Medicaid
OHP00645668OtherRAILROAD MEDICARE
OH000000585542OtherANTHEM
OH000000585542OtherANTHEM