Organization Active NPI

Advanced Care Ambulance Service

  • Ambulance
  • Columbus, OH
National Provider Identifier
1912143363
Registry record updated Nov 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
ADVANCED CARE AMBULANCE SERVICE
Practice address
643 N James Rd
Columbus, OH 43219-1837
Phone
(614) 235-1155
Fax
(614) 235-1177
NPI assigned
Jan 6, 2009
Last updated
Nov 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2009

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

Authorized official

Name
Jami L Tomblin
Title
Member
Phone
(614) 235-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

643 N James Rd
Columbus, OH 43219-1837

Mailing address

643 N James Rd
Columbus, OH 43219-1837
Phone (614) 235-1155

Other identifiers 2

IdentifierTypeStateIssuer
2991179MedicaidOH
000000622186OtherOHANTHEM

National Provider Directory

National Provider Directory

Locations

2480 Creekway Dr
Columbus, OH 43207
Phone (614) 235-1155

643 N James Rd
Columbus, OH 43219
Phone (614) 235-1155

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258761600000",
    "number": "1912143363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191837",
            "telephone_number": "614-235-1155",
            "fax_number": "614-235-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191837",
            "telephone_number": "614-235-1155",
            "fax_number": "614-235-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-11-21",
        "status": "A",
        "authorized_official_last_name": "TOMBLIN",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-235-1155"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2991179",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000622186",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2009; 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.