| Organization Name: | ELITE AMBULANCE SERVICE |
| NPI Number: | 1184063695 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEREMY LEE WOODWARD (PRESIDENT / CEO) |
| Mailing Address: | 308 West Main Street Owensville |
| State: | OH US |
| Postal Code: | 45160 |
| Phone Number: | 5137351192 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2013 |
| NPI Last Update Date: | 09/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |