# ALLIED AMBULANCE SERVICES LLC

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

## Provider details

- **NPI number:** 1780918672
- **Authorized official:** JEREMY STARLINE (OWNER)
- **Authorized official phone:** (937) 205-6926

## Contact information

- **Practice address:** 9927 STATE ROUTE 774, HAMERSVILLE, OH 45130-8774
- **Practice address phone:** (937) 379-1404
- **Practice address fax:** (937) 379-1579
- **Mailing address:** 9927 STATE ROUTE 774, HAMERSVILLE, OH 45130-8774
- **Mailing address phone:** (937) 379-1404
- **Mailing address fax:** (937) 379-1579

## Taxonomy

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

## Other

- **Enumeration date:** 09/24/2009
- **Last updated:** 06/22/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000644856 | ANTHEM SENIOR ADVANTAGE | OH |
| 05 | — | 3045029 | — | OH |