1St Advanced EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

250012 Issued in OH

Legal business name

1ST ADVANCED EMS LLC

Practice address

723 N James Rd
Columbus, OH 43219-1839

Phone

(614) 348-9991

Fax

(614) 348-9991

NPI assigned

Oct 4, 2010

Last updated

May 22, 2020By 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

Lyudmila G Kimkhe

Title

Owner

Phone

(614) 348-9991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1336458629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191839",
            "telephone_number": "614-348-9991",
            "fax_number": "614-348-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191839",
            "telephone_number": "614-348-9991",
            "fax_number": "614-348-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST ADVANCED EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "KIMKHE",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-348-9991"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "250012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Columbus, OH
• Providers in Columbus, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.