PERRY PORT & SALEM AMBULANCE SERVICE INC; NPI #1124092879

Contact Information

PERRY PORT & SALEM AMBULANCE SERVICE INC

205 WALL ST
PORT JEFFERSON, OH 45360

Phone: 937-538-1802
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for PERRY PORT & SALEM AMBULANCE SERVICE INC

NPI # 1124092879

LBN Legal business name PERRY PORT & SALEM AMBULANCE SERVICE INC

Authorized official YVONNE BROWN - (ASSISTANT CHIEF)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/16/2006

Last updated 02/14/2012 - About 14 years ago

Identifiers

OH	License #	02035000210714
OH	Medicaid	2355366
OH	Other	000000249684	BC/BS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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