MEDICARE: PATIENT FIRST AMBULANCE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1104565761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENT FIRST AMBULANCE, LLC

Provider Business Mailing Address
First Line	:	1401 BEECHWOOD DR NE
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-1314
Country	:	US
Telephone Number	:	740-701-2053
Fax Number	:	740-422-0499

Provider Business Practice Location Address
First Line	:	1401 BEECHWOOD DR NE
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-1314
Country	:	US
Telephone Number	:	740-701-2053
Fax Number	:	740-422-0499

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	DWAYNE A. HOLIDAY
Credential	:	EMT-B
Telephone Number	:	740-701-2053

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	06/01/2026

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Directions to “PATIENT FIRST AMBULANCE, LLC ” Practice Location

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