# AMERICAN AMBULETTE & AMBULANCE SERVICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** D/B/A MEDCORP AND D/B/A LIFE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548350572
- **Authorized official:** MRS. JODI A URBANSKI (BILLING SUPERVISOR)
- **Authorized official phone:** (419) 727-0544

## Contact information

- **Practice address:** 729 6TH STREET, D/B/A LIFE, PORTSMOUTH, OH 45662
- **Practice address phone:** (740) 354-6169
- **Practice address fax:** (937) 237-8773
- **Mailing address:** 2107 JERGENS RD, DAYTON, OH 45404-1227
- **Mailing address phone:** (419) 727-0544
- **Mailing address fax:** (419) 727-0539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416A0800X | Air Ambulance | 1676 | KY | — |
| 3416L0300X | Land Ambulance | 570092 | OH | — |
| 3416S0300X | Water Ambulance | 1657 | KY | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | 1271 | KY | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/24/2012