Organization Active NPI

Queen City Ambulance,LLC

  • Land Ambulance
  • Cincinnati, OH
National Provider Identifier
1164910907
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
QUEEN CITY AMBULANCE,LLC
Practice address
3636 Muddy Creek Rd
Cincinnati, OH 45238-2081
Phone
(513) 302-2672
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Corey Raymond ScarlatoNPI 1235612870
Title
Owner
Phone
(513) 302-2672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X OH
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3636 Muddy Creek Rd
Cincinnati, OH 45238-2081

Mailing address

3636 Muddy Creek Rd
Cincinnati, OH 45238-2081
Phone (513) 302-2672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181203001847 OH Part B Supplier - Ambulance Service Supplier 1153675400 Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1164910907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 MUDDY CREEK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382081",
            "telephone_number": "513-302-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 MUDDY CREEK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382081",
            "telephone_number": "513-302-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY AMBULANCE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2021-01-11",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "SCARLATO",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-302-2672"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.