Organization Active NPI

Greenup Emergency Ambulance Service LLC

  • Land Ambulance
  • Portsmouth, OH
National Provider Identifier
1316400690
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GREENUP EMERGENCY AMBULANCE SERVICE LLC
Practice address
2820 Gallia St Unit 3
Portsmouth, OH 45662-4809
Phone
(740) 354-3122
NPI assigned
Apr 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Rachael Estep
Title
Vice-President
Phone
(740) 354-3122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2820 Gallia St Unit 3
Portsmouth, OH 45662-4809

Mailing address

2820 Gallia St Unit 3
Portsmouth, OH 45662-4809
Phone (740) 354-3122

Other practice location 1

187 South Shore Drive
South Shore, OH 41175
Phone (740) 354-3122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190723000454 KY Part B Supplier - Ambulance Service Supplier 6406182963 Practice locations: South Shore, KY

National Provider Directory

National Provider Directory

Locations

2828 Gallia St
Unit 3
Portsmouth, OH 45662

2820 Gallia St
Unit 3
Portsmouth, OH 45662
Phone (740) 354-3122

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1316400690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 GALLIA ST UNIT 3",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624809",
            "telephone_number": "740-354-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 GALLIA ST UNIT 3",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624809",
            "telephone_number": "740-354-3122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 South Shore Drive",
            "address_purpose": "LOCATION",
            "city": "South Shore",
            "state": "OH",
            "postal_code": "41175",
            "country_code": "US",
            "telephone_number": "740-354-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENUP EMERGENCY AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "ESTEP",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "740-354-3122"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "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 Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.