American Ambulette & Ambulance Service, Inc

Primary specialty

Water AmbulanceTaxonomy code 3416S0300X

License

1657 Issued in KY

Legal business name

AMERICAN AMBULETTE & AMBULANCE SERVICE, INC

Doing business as

D/B/a Medcorp and D/B/a Life

Practice address

729 6TH Street
D/B/a Life
Portsmouth, OH 45662

Phone

(740) 354-6169

Fax

(937) 237-8773

NPI assigned

Oct 13, 2006

Last updated

Aug 24, 2012By 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

Mrs. Jodi A Urbanski

Title

Billing Supervisor

Phone

(419) 727-0544

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• D/B/A MEDCORP AND D/B/A LIFE Doing business as

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1548350572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 JERGENS RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041227",
            "telephone_number": "419-727-0544",
            "fax_number": "419-727-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 6TH STREET",
            "address_2": "D/B/A LIFE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "45662",
            "telephone_number": "740-354-6169",
            "fax_number": "937-237-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN AMBULETTE & AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "URBANSKI",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "419-727-0544",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "KY",
            "license": "1676",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "570092",
            "primary": false
        },
        {
            "code": "3416S0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Water Transport",
            "state": "KY",
            "license": "1657",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KY",
            "license": "1271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429129",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A MEDCORP AND D/B/A LIFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.