Portsmouth Emergency Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

73-0472 Issued in OH

Legal business name

PORTSMOUTH EMERGENCY AMBULANCE SERVICE INC

Practice address

703 S West St
Piketon, OH 45661-9549

Phone

(740) 289-2932

NPI assigned

Sep 9, 2011

Last updated

Sep 9, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

PORTSMOUTH EMERGENCY AMBULANCE SERVICE INCAs reported in NPPES

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

Authorized official

Name

Mr. Michael L Adkins

Title

Ceo

Phone

(740) 354-3122

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• PEASI Other name

Tax ID family

Portsmouth Emergency Ambulance Service Inc3 organizations share this tax ID, including this one

Part of

Portsmouth Emergency Ambulance Service Inc

Other organizations with this tax ID 2

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

• Portsmouth Emergency Ambulance Service Inc

  • Ambulance
  • Portsmouth, OH
  • NPI 1851530521
  NPD tax ID
• Portsmouth Emergency Ambulance Service Inc

  dba Peasi

  • Land Ambulance
  • South Shore, KY
  • NPI 1487092862
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Portsmouth Emergency Ambulance Service Inc

  • Ambulance
  • Portsmouth, OH
  • NPI 1851530521
  NPPES parent name

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1700167301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624807",
            "telephone_number": "740-354-3122",
            "fax_number": "740-353-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S WEST ST",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619549",
            "telephone_number": "740-289-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTSMOUTH EMERGENCY AMBULANCE SERVICE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTSMOUTH EMERGENCY AMBULANCE SERVICE INC",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-354-3122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "73-0472",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "73-0472",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "73-0472",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3159442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEASI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pike County Board of MRDD
• Piketon Facility Operations, LLC (Piketon Nursing Center)
• Piketon Nursing Center LLC (Piketon Nursing Center)
• Pleasant Hill Leasing, LLC
• Melisa Lynn Ponder
• Shawn Randall Prentice
• Coralee Priest
• Brandon M Privitera, DDS
• Macy Puckett
• Seth Queen, QMHS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.