Organization
RIVERSIDE EMERGENCY MEDICAL SERVICE INC
Active
Other names
Riverside EMS
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BEATTY (VICE PRESIDENT)
(937) 935-7378
Entity
Organization
Contact information
Practice address
105 S BOGGS, DEGRAFF, OH 43318
(937) 585-5811
Mailing address
10 HUNTER PL, BELLEFONTAINE, OH 43311-3000
(937) 593-9748
(937) 599-2341
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0637752
—
OH
Enumeration date
01/16/2007
Last updated
01/13/2012
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