Provider Demographics
NPI:1902296981
Name:HARTS AMBULETTE
Entity Type:Organization
Organization Name:HARTS AMBULETTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:CADWALLADER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:419-921-9238
Mailing Address - Street 1:3134 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-9280
Mailing Address - Country:US
Mailing Address - Phone:419-332-3911
Mailing Address - Fax:419-332-3820
Practice Address - Street 1:3134 E STATE ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-9280
Practice Address - Country:US
Practice Address - Phone:419-332-3911
Practice Address - Fax:419-332-3820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH725075343900000X
OH725095343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)