Organization
AMERICAN AMBULETTE & AMBULANCE SERVICE, INC
Active
Other names
D/B/A MEDCORP AND D/B/A LIFE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI A URBANSKI (BILLING SUPERVISOR)
(419) 727-0544
Entity
Organization
Contact information
Practice address
729 6TH STREET, D/B/A LIFE, PORTSMOUTH, OH 45662
(740) 354-6169
(937) 237-8773
Mailing address
2107 JERGENS RD, DAYTON, OH 45404-1227
(419) 727-0544
(419) 727-0539
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
1676
KY
3416L0300X
Land Ambulance
570092
OH
3416S0300X
Water Ambulance
Primary
1657
KY
343900000X
Non-emergency Medical Transport (VAN)
1271
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0429129
—
OH
Enumeration date
10/13/2006
Last updated
08/24/2012
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