Courtesy Ambulance, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

450012 Issued in OH

Legal business name

COURTESY AMBULANCE, INC.

Practice address

1890 W Main St
Newark, OH 43055-1134

Phone

(740) 522-8588

Fax

(740) 522-3031

NPI assigned

Apr 14, 2006

Last updated

Aug 15, 2023By 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. Eileen Scarrett-Dudgeon

Title

President

Phone

(740) 522-8588

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1982668174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551134",
            "telephone_number": "740-522-8588",
            "fax_number": "740-522-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551134",
            "telephone_number": "740-522-8588",
            "fax_number": "740-522-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTESY AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "SCARRETT-DUDGEON",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-522-8588",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "450012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0713860",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "0000001550300",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9890010000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Esther Cortes Betancourt
• Alexandria Corwin
• Erin Costa, OT
• Crystal Cotter
• Debra Cotterman
• Billie Courtwright, LSW
• Nicole Allison Coventry, DC
• Tamara Lynn Covey, LPN
• Alexus McKenna Cowdery
• Bonnie Lee Cox, LPN

• Land Ambulance in Newark, OH
• Providers in Newark, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.