Organization
JOINT EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE MADDEN (CHIEF)
(937) 746-3483
Entity
Organization
Contact information
Practice address
495 CENTRAL AVE, CARLISLE, OH 45005-3371
(937) 746-3483
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-1220
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010041
ANTHEM
OH
05
—
0613394
—
OH
Enumeration date
08/03/2005
Last updated
08/13/2024
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