Healthcare Provider Details

I. General information

NPI: 1023632890
Provider Name (Legal Business Name): SUPERIOR AIR-GROUND AMBULANCE SERVICE OF OHIO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2020
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 DEARBORN DR STE 400
COLUMBUS OH
43085-1573
US

IV. Provider business mailing address

395 W LAKE ST
ELMHURST IL
60126-1508
US

V. Phone/Fax

Practice location:
  • Phone: 630-832-2000
  • Fax:
Mailing address:
  • Phone: 630-832-2012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JON MOLONEY
Title or Position: DIRECTOR
Credential:
Phone: 630-903-2260