MEDICARE: EXPRESS MEDICAL SERVICES

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	130342	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	709664800	OTHER	OH	DOL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	P02107656	OTHER	OH	RAILROAD PTAN
4	000001074113	OTHER	OH	BCBS

General Provider Information

NPI Number	:	1922541721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPRESS MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 9150
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42002-9150
Country	:	US
Telephone Number	:	270-744-9600
Fax Number	:	270-744-8647

Provider Business Practice Location Address
First Line	:	220 WEST MAIN STREET
Second Line	:
City	:	OWENSVILLE
State	:	OH
Zip	:	45160-9509
Country	:	US
Telephone Number	:	888-914-6367
Fax Number	:	513-735-1191

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KATHY CROMER
Credential	:
Telephone Number	:	513-312-3910

Provider Enumeration Date	:	11/28/2016
Last Update Date	:	01/26/2022

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Directions to “EXPRESS MEDICAL SERVICES ” Practice Location

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