Tand C Ambulance Service LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1910375 Issued in OH

Legal business name

TAND C AMBULANCE SERVICE LLC

Practice address

40 Mickey Rd
Shelby, OH 44875-1737

Phone

(419) 544-1076

NPI assigned

Apr 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bonnie L Wilson

Title

President

Phone

(419) 342-3400

Specialties & licenses 1

Addresses

Other names 1

• Quality Care EMS Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1154648129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MICKEY RD",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751737",
            "telephone_number": "419-544-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAND C AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-342-3400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "1910375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Care EMS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melissa Stumbo, RN
• Jay Jason Summers, CDCA
• Tammy Lynn Sutter, LPN
• Geoffrey Allen Swiger, CRNA
• Linda Sue Tabor, LPN
• Deeanna Tanner
• Drake Tanner
• Jeremy Taylor, CDCA
• Evan Teaney
• Christopher Tesca

• Land Ambulance in Shelby, OH
• Providers in Shelby, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.