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Organization
PATRIOT EMERGENCY MEDICAL SERVICE
Active
Organization
PATRIOT EMERGENCY MEDICAL SERVICE
Active
Other names
Lawrence County Emergency Medical Service
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H ROTTER NREMT-P (CHIEF OPERATIONS OFFICER)
(740) 532-2222
Entity
Organization
Contact information
Practice address
2914 S 4TH ST, IRONTON, OH 45638-2867
(740) 532-2222
(740) 532-4344
Mailing address
PO BOX 4434, IRONTON, OH 45638-4434
(740) 532-2222
(740) 532-4344
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
440022
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-1458000
OHIO BOARD OF PHARMACY
—
01
—
201031600168
OHIO SOS CERTIFICATE OF TRADE NAME
—
05
—
2530756
—
OH
01
—
440022
OHIO EMERGENCY MEDICAL SERVICES LICENSE
—
01
—
445015
OHIO AMBULETTE LICENSE
—
Enumeration date
12/07/2010
Last updated
12/07/2010
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