Organization Active NPI

Able Medical Transport of Southern Ohio LLC

  • Land Ambulance
  • Wheelersburg, OH
National Provider Identifier
1598770398
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
730182 Issued in OH
Legal business name
ABLE MEDICAL TRANSPORT OF SOUTHERN OHIO LLC
Practice address
8046 Ohio River Rd Ste B
Wheelersburg, OH 45694-1689
Phone
(740) 574-5555
Fax
(740) 574-2790
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Shad E Wooten
Title
Chief Financial Officer
Phone
(740) 574-5555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 730182 OH Primary
Non-emergency Medical Transport (VAN) 343900000X 735135 OH

Addresses

Primary practice location

8046 Ohio River Rd Ste B
Wheelersburg, OH 45694-1689

Mailing address

PO Box 315
Wheelersburg, OH 45694-0315
Phone (740) 574-5555

Other identifiers 1

IdentifierTypeStateIssuer
2652464MedicaidOH

National Provider Directory

National Provider Directory

Locations

2837 Scioto Trl
Portsmouth, OH 45662
Phone (740) 353-5555

14572 US Highway 23
Waverly, OH 45690
Phone (740) 835-8485

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1598770398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456940315",
            "telephone_number": "740-574-5555",
            "fax_number": "740-574-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8046 OHIO RIVER RD STE B",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941689",
            "telephone_number": "740-574-5555",
            "fax_number": "740-574-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE MEDICAL TRANSPORT OF SOUTHERN OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "SHAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "740-574-5555"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "730182",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "735135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2652464",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheelersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.