Organization
ABLE MEDICAL TRANSPORT OF SOUTHERN OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAD E WOOTEN (CHIEF FINANCIAL OFFICER)
(740) 574-5555
Entity
Organization
Contact information
Practice address
8046 OHIO RIVER RD STE B, WHEELERSBURG, OH 45694-1689
(740) 574-5555
(740) 574-2790
Mailing address
PO BOX 315, WHEELERSBURG, OH 45694-0315
(740) 574-5555
(740) 574-2790
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
730182
OH
343900000X
Non-emergency Medical Transport (VAN)
735135
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2652464
—
OH
Enumeration date
07/30/2006
Last updated
03/21/2013
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