Organization
PORTSMOUTH EMERGENCY AMBULANCE SERVICE INC
Active
Other names
PEASI, PEASI
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL ESTEP (ADMINISTRATION)
(740) 354-3122
Entity
Organization
Contact information
Practice address
186 HAUSER AVE, SOUTH SHORE, KY 41175
(740) 354-3122
(740) 351-0679
Mailing address
2796 GALLIA STREET, PORTSMOUTH, OH 45662
(740) 354-3122
(740) 351-0679
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
1676 / 1677
KY
3416L0300X
Land Ambulance
Primary
1676
KY
3416L0300X
Land Ambulance
1677
KY
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
1676
KY
343900000X
Non-emergency Medical Transport (VAN)
1677
KY
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096759
—
OH
01
—
1487092862
KY MEDICARE PROVIDER NUMBER K093870
KY
05
—
3159442
—
OH
05
—
7100174460
—
KY
05
—
7100189640
—
KY
05
—
7100260270
—
KY
05
—
7100260300
—
KY
05
—
96759
—
OH
Enumeration date
06/07/2013
Last updated
06/25/2024
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