# PORTSMOUTH MEDIC TRANSPORT LLC

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

## Provider details

- **NPI number:** 1417510686
- **Authorized official:** RACHAEL ESTEP (ADMINISTRATION)
- **Authorized official phone:** (740) 354-3122

## Contact information

- **Practice address:** 2820 GALLIA ST UNIT 2, PORTSMOUTH, OH 45662-4809
- **Practice address phone:** (740) 354-3122
- **Mailing address:** 2820 GALLIA ST UNIT 2, PORTSMOUTH, OH 45662-4809
- **Mailing address phone:** (740) 354-3122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2019
- **Last updated:** 11/22/2024