| Organization Name: | BRICKNER AMBULANCE SERVICE INC |
| NPI Number: | 1396826749 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES C. BRICKNER (PRESIDENT) |
| Mailing Address: | 419 S Washington St Van Wert |
| State: | OH US |
| Postal Code: | 458911944 |
| Phone Number: | 4192382381 |
| Fax Number: | 4192382382 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 01/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 810017 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |