Organization
PATRIOT EMERGENCY MEDICAL SERVICES
Active
Other names
PATRIOT EMS, Patriot EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ROTTER (PRESIDENT)
(740) 532-2222
Entity
Organization
Contact information
Practice address
2914 S 4TH ST, IRONTON, OH 45638-2867
(740) 532-2222
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8123
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
440022
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356734
ANTHEM BLUE CROSS
OH
05
—
2530756
—
OH
Enumeration date
08/16/2006
Last updated
09/22/2022
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