Riverside Emergency Medical Service Inc
Organization Active NPI Land Ambulance · Degraff, OH
NPI 1043361850 · NPPES record last updated Jan 13, 2012
Key facts
- NPI
- 1043361850
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- RIVERSIDE EMERGENCY MEDICAL SERVICE INC
- Practice address
- 105 S Boggs
Degraff, OH 43318 - Phone
- (937) 585-5811
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Robert Beatty
- Title
- Vice President
- Phone
- (937) 935-7378
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1017615 | Riverside Emergency Medical Services | Certificate of waiver | Sep 29, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
105 S Boggs
Degraff, OH 43318
Mailing address
10 Hunter PL
Bellefontaine, OH 43311-3000
Phone (937) 593-9748
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0637752 | Medicaid | OH |
Other names
- Riverside EMS
Other providers in Degraff, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.