AMERICAN AMBULETTE & AMBULANCE SERVICE, INC (NPI# 1548350572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548350572 |
| Entity Type | Organization |
| Organization Name | AMERICAN AMBULETTE & AMBULANCE SERVICE, INC |
| Other Organization Name | D/B/A MEDCORP AND D/B/A LIFE |
| Practice Address |
729 6th Street D/b/a Life Portsmouth OH 45662 |
| Mailing Address |
2107 Jergens Rd Dayton OH 45404-1227 |
| Practice Telephone | 7403546169 |
| Practice Fax Number | 9372378773 |
| Mailing Telephone | 4197270544 |
| Mailing Fax Number | 4197270539 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-08-24 |
| Authorized Official Name | MRS. JODI A URBANSKI (BILLING SUPERVISOR) |
| Authorized Official Telephone | 4197270544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416A0800X |
Ambulance Specialization: Air Transport |
1676 | KY | Transportation Services |
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
570092 | OH | Transportation Services |
| N | 343900000X | Non-emergency Medical Transport (VAN) | 1271 | KY | Transportation Services |
| Y | 3416S0300X |
Ambulance Specialization: Water Transport |
1657 | KY | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0429129 | 05 |
| Other Name | Type Code |
|---|---|
| D/B/A MEDCORP AND D/B/A LIFE | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | AMERICAN AMBULETTE & AMBULANCE SERVICE, INC. | 379 North Front Street, Wilmington, NC 28401 |
| Street Address |
729 6TH STREET D/B/A LIFE |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992903397 | Care First Health Service, Inc. | Home Health | 729 6th Street, Portsmouth, OH 45662-3813 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 3416S0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Water Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932390341 | Massie Township Fd | Ambulance | 10 Harveysburg Road, Harveysburg, OH 45032 | 2007-08-09 |
| City | PORTSMOUTH |
| Zip Code | 45662 |
Please comment or provide details below to improve the information on AMERICAN AMBULETTE & AMBULANCE SERVICE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.