MEDICARE: EMS NORTH HAMILTON COUNTY MERCY REGIONAL PARAMEDIC SERVICE

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000038560	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1598765703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMS NORTH HAMILTON COUNTY MERCY REGIONAL PARAMEDIC SERVICE

Provider Business Mailing Address
First Line	:	PO BOX 632429
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-2429
Country	:	US
Telephone Number	:	937-291-7850
Fax Number	:	937-291-2971

Provider Business Practice Location Address
First Line	:	11210 READING RD
Second Line	:
City	:	SHARONVILLE
State	:	OH
Zip	:	45241-2239
Country	:	US
Telephone Number	:	513-489-7949
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	RALPH HAMMONDS
Credential	:
Telephone Number	:	513-563-0252

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	03/13/2008

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