Organization
PATIENT CARE OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN EDWARD ROSE EMT-P (OWNER/CEO)
(740) 438-1098
Entity
Organization
Contact information
Practice address
11972 BLACK RD, GLOUSTER, OH 45732-9732
(740) 438-1098
Mailing address
11972 BLACK RD, GLOUSTER, OH 45732-9732
(740) 438-1098
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
146M00000X
Intermediate Emergency Medical Technician
—
—
146N00000X
Basic Emergency Medical Technician
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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