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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