Healthcare Provider Details

I. General information

NPI: 1265996482
Provider Name (Legal Business Name): REGIONAL EMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2019
Last Update Date: 01/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 BILMAR DRIVE
SHERRODSVILLE OH
44675
US

IV. Provider business mailing address

217 BILMAR DRIVE
SHERRODSVILLE OH
44675
US

V. Phone/Fax

Practice location:
  • Phone: 330-987-4373
  • Fax: 740-269-7811
Mailing address:
  • Phone: 330-987-4373
  • 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: JOEL DECKER
Title or Position: DIRECTOR
Credential:
Phone: 330-432-5413