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Organization

AMERICAN AMBULANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVE VAUGHTERS PARAMEDIC (OWNER)
(740) 355-1000
Entity
Organization

Contact information

Practice address
1032 KINNEYS LN, PORTSMOUTH, OH 45662-2805
(740) 355-1000
(740) 355-1003
Mailing address
5870 CLEVELAND AVE, STE D, COLUMBUS, OH 43231-2806
(614) 890-8653
(614) 890-2947

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
730282
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000391926
ANTHEM BLUE CROSS
OK
05
2651161
OH
01
311387681001
MEDICAL MUTUAL
OH
01
P00294212
RAILROAD MEDICARE
OH
Enumeration date
08/21/2006
Last updated
08/22/2020
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