NPIMap

Organization Active NPI

Patriot Emergency Medical Service

  • Land Ambulance
  • Ironton, OH
National Provider Identifier
1497058846
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
440022 Issued in OH
Legal business name
PATRIOT EMERGENCY MEDICAL SERVICE
Practice address
2914 S 4TH St
Ironton, OH 45638-2867
Phone
(740) 532-2222
Fax
(740) 532-4344
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
David H Rotter, NREMT-P
Title
Chief Operations Officer
Phone
(740) 532-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 440022 OH Primary

Addresses

Primary practice location

2914 S 4TH St
Ironton, OH 45638-2867

Mailing address

PO Box 4434
Ironton, OH 45638-4434
Phone (740) 532-2222

Other identifiers 5

IdentifierTypeStateIssuer
2530756MedicaidOH
445015OtherOHIO AMBULETTE LICENSE
201031600168OtherOHIO SOS CERTIFICATE OF TRADE NAME
440022OtherOHIO EMERGENCY MEDICAL SERVICES LICENSE
02-1458000OtherOHIO BOARD OF PHARMACY

Other names 1

  • Lawrence County Emergency Medical Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lawrence County Emergency Medical Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2914 S 4th St
Ironton, OH 45638
Phone (740) 532-2222

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1497058846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4434",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456384434",
            "telephone_number": "740-532-2222",
            "fax_number": "740-532-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 S 4TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382867",
            "telephone_number": "740-532-2222",
            "fax_number": "740-532-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "ROTTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "740-532-2222",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "440022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2530756",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO AMBULETTE LICENSE",
            "identifier": "445015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO SOS CERTIFICATE OF TRADE NAME",
            "identifier": "201031600168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO EMERGENCY MEDICAL SERVICES LICENSE",
            "identifier": "440022",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF PHARMACY",
            "identifier": "02-1458000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence County Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.