Portsmouth Medic Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PORTSMOUTH MEDIC TRANSPORT LLC

Practice address

2820 Gallia St Unit 2
Portsmouth, OH 45662-4809

Phone

(740) 354-3122

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Rachael Estep

Title

Administration

Phone

(740) 354-3122

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1417510686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 GALLIA ST UNIT 2",
            "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 2",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624809",
            "telephone_number": "740-354-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTSMOUTH MEDIC TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "ESTEP",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "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": []
}

• Portsmouth Emergency Ambulance Service Inc
• Portsmouth Healthcare LLC
• Portsmouth HH Opco LLC
• Portsmouth Hospital Corporation
• Portsmouth Hospital Corporation
• Portsmouth Opco LLC
• Portsmouth Surgery Center
• Portsmouth Vision Center, LTD
• Deanna Jean Potter, CNP
• James Potter

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.