# RIVERSIDE EMERGENCY MEDICAL SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043361850
- **Authorized official:** ROBERT BEATTY (VICE PRESIDENT)
- **Authorized official phone:** (937) 935-7378

## Contact information

- **Practice address:** 105 S BOGGS, DEGRAFF, OH 43318
- **Practice address phone:** (937) 585-5811
- **Mailing address:** 10 HUNTER PL, BELLEFONTAINE, OH 43311-3000
- **Mailing address phone:** (937) 593-9748
- **Mailing address fax:** (937) 599-2341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 01/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0637752 | — | OH |