# PATRIOT EMERGENCY MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PATRIOT EMS, Patriot EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265545941
- **Authorized official:** MR. DAVID ROTTER (PRESIDENT)
- **Authorized official phone:** (740) 532-2222

## Contact information

- **Practice address:** 2914 S 4TH ST, IRONTON, OH 45638-2867
- **Practice address phone:** (740) 532-2222
- **Mailing address:** PO BOX 589, MADISONVILLE, KY 42431-5011
- **Mailing address phone:** (270) 824-8123
- **Mailing address fax:** (270) 824-8123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 440022 | OH | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 09/22/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000356734 | ANTHEM BLUE CROSS | OH |
| 05 | — | 2530756 | — | OH |