Riverside Emergency Medical Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

RIVERSIDE EMERGENCY MEDICAL SERVICE INC

Doing business as

Riverside EMS

Practice address

105 S Boggs
Degraff, OH 43318

Phone

(937) 585-5811

NPI assigned

Jan 16, 2007

Last updated

Jan 13, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Beatty

Title

Vice President

Phone

(937) 935-7378

Specialties & licenses 1

Addresses

Other names 1

• Riverside EMS Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1043361850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HUNTER PL",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433113000",
            "telephone_number": "937-593-9748",
            "fax_number": "937-599-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BOGGS",
            "city": "DEGRAFF",
            "state": "OH",
            "postal_code": "43318",
            "telephone_number": "937-585-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE EMERGENCY MEDICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "937-935-7378"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Merritt
• Patricia Joann Osborne
• Christopher Overmyer
• Kaitlyn Jo Overmyer
• Platinum Psychotherapy and Counseling LLC
• Riverside Local Schools
• Sarah Roberts
• Sadie Scott
• Rebecca Shaw
• Brittany Lynn Shough, AT, ATC

• Land Ambulance in De Graff, OH
• Providers in De Graff, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.