Organization Name: | PORTSMOUTH EMERGENCY AMBULANCE SERVICE INC |
NPI Number: | 1487092862 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRINA L ADKINS (VICE PRESIDENT) |
Mailing Address: | 1006 Fairlane Drive Vanceburg |
State: | KY US |
Postal Code: | 41179 |
Phone Number: | 7403543122 |
Fax Number: | 7403510679 |
NPI Enumeration Date: | 06/07/2013 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |