PROVIDENCE MEDICAL TRANSPORTATION (NPI# 1619147782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619147782 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE MEDICAL TRANSPORTATION |
| Practice Address |
2324 Stanley Ave Dayton OH 45404-1202 |
| Practice Telephone | 9372604244 |
| Practice Fax Number | 9372627999 |
| Mailing Telephone | 9372604244 |
| Mailing Fax Number | 9372627999 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | MR. ANDRE JENKINS (STATION MANAGER) |
| Authorized Official Telephone | 9372604244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
OH | Transportation Services |
| Street Address |
2324 STANLEY AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45404-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609128230 | Omni Investments Group LLC | In Home Supportive Care | 2324 Stanley Ave, Dayton, OH 45404-1202 | 2012-10-05 |
| 1386923365 | Avesta Home Health Care LLC | Home Health | 2324 Stanley Ave, Suite 113, Dayton, OH 45404-1202 | 2011-08-09 |
| 1336389394 | Ace Home Healthcare Agency, Ltd | Home Health | 2324 Stanley Ave, Dayton, OH 45404-1202 | 2009-03-03 |
| 1144482837 | Ace Healthcare Consulting, Inc. | Home Health | 2324 Stanley Ave, Ste 136, Dayton, OH 45404-1202 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587108 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste 3, Dayton, OH 45404 | 2016-02-05 |
| 1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
| 1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
| 1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
| Find all providers in zip 45404 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
| 1316267297 | Ohio Medical Transport LLC | Ambulance | 2740 W National Rd, Dayton, OH 45414-1108 | 2010-06-02 |
| 1245381532 | Rhea Ambulance Services LLC | Ambulance | 9460 Rhea County Hwy, Dayton, TN 37321-7922 | 2007-01-15 |
| 1043298102 | Columbia County Fire Dist 3 | Ambulance | 206 W Main St, #2, Dayton, WA 99328-1230 | 2006-01-08 |
| 1659363380 | Harrison Township Board of Trustees | Ambulance | 2400 Turner Rd, Dayton, OH 45415-3649 | 2005-08-18 |
| 1366434573 | Sugarcreek Township Ttees | Ambulance | 4398 Clyo Rd, Dayton, OH 45459-7000 | 2005-08-16 |
| 1265433130 | City of Dayton | Ambulance | 300 N Main St, Dayton, OH 45402-1208 | 2005-08-02 |
| 1922097427 | City of Riverside | Ambulance | 1791 Harshman Rd, Dayton, OH 45424-5017 | 2005-10-18 |
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| 1811534704 | Memorial Emergency Medical Service LLC | Ambulance | 2375 Refugee Park, Columbus, OH 43207-2173 | 2019-12-10 |
| 1386281525 | Quality Care Ambulance LLC | Ambulance | 6483 Tri County Rd, Seaman, OH 45679-9012 | 2019-12-06 |
| 1457995003 | Kingsway Medical Transport LLC | Ambulance | 938 W Main St Ste 1, Hillsboro, OH 45133-7656 | 2019-11-06 |
| 1821651688 | Waterford Township | Ambulance | 207 4th Street, Beverly, OH 45715-0146 | 2019-04-17 |
| Find all providers with the same taxonomy | ||||
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| 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.