# PATIENT CARE OHIO LLC

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

## Provider details

- **NPI number:** 1346946944
- **Authorized official:** JONATHAN EDWARD ROSE EMT-P (OWNER/CEO)
- **Authorized official phone:** (740) 438-1098

## Contact information

- **Practice address:** 11972 BLACK RD, GLOUSTER, OH 45732-9732
- **Practice address phone:** (740) 438-1098
- **Mailing address:** 11972 BLACK RD, GLOUSTER, OH 45732-9732
- **Mailing address phone:** (740) 438-1098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146L00000X | Paramedic | — | NULL | — |
| 146L00000X | Paramedic | — | — | — |
| 146M00000X | Intermediate Emergency Medical Technician | — | NULL | — |
| 146M00000X | Intermediate Emergency Medical Technician | — | — | — |
| 146N00000X | Basic Emergency Medical Technician | — | NULL | — |
| 146N00000X | Basic Emergency Medical Technician | — | — | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | NULL | — |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | — | — |
| 3416L0300X | Land Ambulance | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 02/06/2023
- **Last updated:** 02/06/2023
