PORTSMOUTH MEDIC TRANSPORT LLC NPI 1417510686

NPI Information

NPI: 1417510686
Provider Name: PORTSMOUTH MEDIC TRANSPORT LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 18D2060543

Address:
2828 GALLIA ST UNIT 2
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 354-3122
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PORTSMOUTH MEDIC TRANSPORT LLC is a land transport ambulance in Portsmouth, OH. PORTSMOUTH MEDIC TRANSPORT LLC NPI is 1417510686. The provider is registered as an organization entity type.

The provider's business location address is:

2828 GALLIA ST UNIT 2
PORTSMOUTH, OH
ZIP 45662-809
Phone: (740) 354-3122

The provider's authorized official is Rachael Estep .
The authorized official title is Administration and has the following contact phone number (740) 354-3122.

The CLIA number assigned to this NPI record is 18D2060543 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2019 and was last updated on 2/13/2024.

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	341600000X	Ambulance				No
2	3416L0300X	Ambulance	Land Transport			Yes

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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