# EMERGENCY MEDICAL TRANSPORT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104872142
- **Authorized official:** MR. KENNETH J JOSEPH EMT-P (CHIEF PARAMEDIC)
- **Authorized official phone:** (330) 484-8894

## Contact information

- **Practice address:** 7100 WHIPPLE AVE NW STE A, NORTH CANTON, OH 44720-7167
- **Practice address phone:** (330) 478-4111
- **Practice address fax:** (330) 232-9917
- **Mailing address:** 7100 WHIPPLE AVE NW STE A, NORTH CANTON, OH 44720-7167
- **Mailing address phone:** (330) 484-8894
- **Mailing address fax:** (330) 484-2932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416A0800X | Air Ambulance | 021103550 | OH | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 11/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000155881 | BCBS | OH |
| 01 | — | 00023436 | MT.STATE | OH |
| 05 | — | 2000051 | — | OH |
| 01 | — | 3481838901 | BWC | OH |
| 01 | — | 590010656 | RR MEDICARE | OH |
| 01 | — | 800024 | BLACKLUNG | OH |
| 05 | — | 8001026000 | — | WV |