EASTERN SHORE AMBULANCE INC NPI 1205863453

NPI Information

NPI: 1205863453
Provider Name: EASTERN SHORE AMBULANCE INC

Doing Business As: EASTERN SHORE AMBULANCE SERVICE INC

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
3301 AIRLINE BLVD
PORTSMOUTH, VA
ZIP 23701
Phone: (866) 343-7153
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EASTERN SHORE AMBULANCE INC is a land transport ambulance in Portsmouth, VA. EASTERN SHORE AMBULANCE INC NPI is 1205863453. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastern Shore Ambulance Service Inc.

The provider's business location address is:

3301 AIRLINE BLVD
PORTSMOUTH, VA
ZIP 23701-661
Phone: (866) 343-7153
Fax: (757) 787-9436

The provider's authorized official is Matthew Thomas Ellis .
The authorized official title is Ar Manager and has the following contact phone number (866) 343-7153.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 8/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	535	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9002472	MEDICAID	VIRGINIA
2	098503	OTHER	VIRGINIA	ANTHEM BCBS PROVIDER NUMB
3	590012982	OTHER	VIRGINIA	RAILROAD MEDICARE
4	13616	OTHER	VIRGINIA	VETRI PROVIDER NUMBER
5	190001537	MEDICARE PIN	VIRGINIA
6	590012982	MEDICARE PIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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