Portsmouth Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

730102 Issued in OH

Legal business name

PORTSMOUTH AMBULANCE INC

Practice address

1536 Winchester Ave
Ashland, KY 41101-7662

Phone

(740) 353-7553

NPI assigned

Apr 12, 2007

Last updated

Dec 21, 2007By 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

Robin Deere

Title

VP of Operations

Phone

(606) 465-7373

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1598989378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1860",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051860",
            "telephone_number": "740-353-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017662",
            "telephone_number": "740-353-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTSMOUTH AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "DEERE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "606-465-7373"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "730102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000186402",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0780212",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000285",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "59014451",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56017007",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Poage Elementary School - Ais
• Amanda Porter
• Dwain Phillip Porter, D.C.
• Lori Porter, OT
• Morgan Porter
• John Roger Potter, MD
• Judy Potter, CRNA
• Lisa Ann Potter, DEVELOPMENTAL INTERV
• Donna Powell, RNFA
• Yogendra Prasad, MD

• Land Ambulance in Ashland, KY
• Providers in Ashland, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.