Healthcare Provider Details

I. General information

NPI: 1841290087
Provider Name (Legal Business Name): RIPLEY LIFE SQUAD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 02/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 S 2ND ST
RIPLEY OH
45167-1309
US

IV. Provider business mailing address

PO BOX 174
RIPLEY OH
45167-0174
US

V. Phone/Fax

Practice location:
  • Phone: 937-392-4900
  • Fax: 937-392-4099
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: JEFF SHELTON
Title or Position: FIRE CHIEF
Credential:
Phone: 937-392-4900