Provider Demographics
NPI:1144301631
Name:SOUTH CENTRAL AMBULANCE DISTRICT
Entity type:Organization
Organization Name:SOUTH CENTRAL AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUEHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-563-5619
Mailing Address - Street 1:PO BOX 392907
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:
Practice Address - Street 1:3100 US HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:OH
Practice Address - Zip Code:44085-9601
Practice Address - Country:US
Practice Address - Phone:440-563-5619
Practice Address - Fax:440-563-3733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-03152503416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9173151Medicare ID - Type UnspecifiedAMBULANCE