RIVERSIDE EMERGENCY MEDICAL SERVICE INC; NPI #1043361850

Contact Information

RIVERSIDE EMERGENCY MEDICAL SERVICE INC

105 S BOGGS
DE GRAFF, OH 43318

Phone: 937-585-5811
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for RIVERSIDE EMERGENCY MEDICAL SERVICE INC

NPI # 1043361850

LBN Legal business name RIVERSIDE EMERGENCY MEDICAL SERVICE INC

Authorized official ROBERT BEATTY - (VICE PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/16/2007

Last updated 01/13/2012 - About 14 years ago

Identifiers

Medicaid

0637752

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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