Organization
EMS TEAM LLC
Active
Other names
Buckeye Critical Care
Organization subpart
No
Provider details
NPI number
Authorized official
DERECK M PRISTAS (CHIEF EXECUTIVE OFFICER)
(800) 735-8190
Entity
Organization
Contact information
Practice address
2740 W NATIONAL RD, DAYTON, OH 45414-1108
(800) 735-8190
Mailing address
1371 W RAHN RD, DAYTON, OH 45459-1431
(937) 949-4611
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
570122
OH
3416A0800X
Air Ambulance
—
—
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071761
—
OH
Enumeration date
04/19/2012
Last updated
10/15/2024
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