Healthcare Provider Details

I. General information

NPI: 1275146078
Provider Name (Legal Business Name): EMERGENCY MEDICAL TRANSPORT-OHIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 10/28/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4057 RHODES AVE
NEW BOSTON OH
45662-5556
US

IV. Provider business mailing address

4057 RHODES AVE
NEW BOSTON OH
45662-5556
US

V. Phone/Fax

Practice location:
  • Phone: 740-370-8342
  • Fax:
Mailing address:
  • Phone: 740-529-2120
  • Fax: 740-888-2519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOSH BLEVINS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 740-370-8342