Organization
ALLIED AMBULANCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY STARLINE (OWNER)
(937) 205-6926
Entity
Organization
Contact information
Practice address
9927 STATE ROUTE 774, HAMERSVILLE, OH 45130-8774
(937) 379-1404
(937) 379-1579
Mailing address
9927 STATE ROUTE 774, HAMERSVILLE, OH 45130-8774
(937) 379-1404
(937) 379-1579
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000644856
ANTHEM SENIOR ADVANTAGE
OH
05
—
3045029
—
OH
Enumeration date
09/24/2009
Last updated
06/22/2012
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