PORTSMOUTH EMERGENCY AMBULANCE SERVICE INC; NPI #1487092862

Contact Information

PORTSMOUTH EMERGENCY AMBULANCE SERVICE INC

186 HAUSER AVE
SOUTH SHORE, KY 41175

Phone: 740-354-3122
Fax: 740-351-0679
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Land Transport	3416L0300X	59	Ambulance Service Provider
Ambulance	341600000X	59	Ambulance Service Provider
Non-emergency Medical Transport (VAN)	343900000X

Indicates primary specialty

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NPI Profile & details for PORTSMOUTH EMERGENCY AMBULANCE SERVICE INC

NPI Number 1487092862

LBN Legal business name PORTSMOUTH EMERGENCY AMBULANCE SERVICE INC

Authorized official RACHAEL ESTEP - (ADMINISTRATION)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/07/2013

Last updated 06/25/2024 - More than a year ago

Identifiers

KY	License #	1676
KY	License #	1676 / 1677
KY	License #	1677
KY	Medicaid	7100174460
KY	Medicaid	7100189640
KY	Medicaid	7100260270
KY	Medicaid	7100260300
OH	Medicaid	0096759
OH	Medicaid	3159442
OH	Medicaid	96759
KY	Other	1487092862	KY MEDICARE PROVIDER NUMBER K093870

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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