# PATRIOT EMERGENCY MEDICAL SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lawrence County Emergency Medical Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497058846
- **Authorized official:** DAVID H ROTTER NREMT-P (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (740) 532-2222

## Contact information

- **Practice address:** 2914 S 4TH ST, IRONTON, OH 45638-2867
- **Practice address phone:** (740) 532-2222
- **Practice address fax:** (740) 532-4344
- **Mailing address:** PO BOX 4434, IRONTON, OH 45638-4434
- **Mailing address phone:** (740) 532-2222
- **Mailing address fax:** (740) 532-4344

## Taxonomy

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

## Other

- **Enumeration date:** 12/07/2010
- **Last updated:** 12/07/2010

## 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 | — |