MEDICARE: HOUSTON RESCUE SERVICE INC

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	020350010	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000038721	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386636231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON RESCUE SERVICE INC

Provider Business Mailing Address
First Line	:	10361 SPARTAN DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-1220
Country	:	US
Telephone Number	:	513-612-3193
Fax Number	:	513-612-3398

Provider Business Practice Location Address
First Line	:	5125 RUSSIA HOUSTON RD
Second Line	:
City	:	HOUSTON
State	:	OH
Zip	:	45333-9802
Country	:	US
Telephone Number	:	937-295-5251
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	KRISTI BRANSON
Credential	:
Telephone Number	:	937-295-5251

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	11/02/2016

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Directions to “HOUSTON RESCUE SERVICE INC ” Practice Location

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