KLG MOBILE INTENSIVE CO LLC NPI 1952367807

NPI Information

NPI: 1952367807
Provider Name: KLG MOBILE INTENSIVE CO LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1516 B SOUTH LINCOLN AVENUE
SALEM, OH
ZIP 44460
Phone: (330) 337-4555
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KLG MOBILE INTENSIVE CO LLC is a land transport ambulance in Salem, OH. KLG MOBILE INTENSIVE CO LLC NPI is 1952367807. The provider is registered as an organization entity type.

The provider's business location address is:

1516 B SOUTH LINCOLN AVENUE
SALEM, OH
ZIP 44460-249
Phone: (330) 337-4555
Fax: (330) 337-4552

The provider's authorized official is Karl Lee Griggs .
The authorized official title is President Ceo and has the following contact phone number (330) 337-4555.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 3/9/2012.

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	343900000X	Non-emergency Medical Transport (VAN)		155075	OHIO	No
2	3416L0300X	Ambulance	Land Transport	150062	OHIO	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	9308061	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	2181071	MEDICAID	OHIO

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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