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Organization

MEDIC 1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA PAUL BLEVINS EMTP (CEO)
(740) 821-5531
Entity
Organization

Contact information

Practice address
1643 OFFNERE ST, PORTSMOUTH, OH 45662-3537
(740) 821-5531
Mailing address
PO BOX 232, SOUTH SHORE, KY 41175-0232
(740) 821-5531

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3416L0300X
Land Ambulance
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
01/03/2019
Last updated
10/22/2024
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