| Organization Name: | PORTSMOUTH EMERGENCY AMBULANCE SERVICE INC |
| NPI Number: | 1700167301 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL L ADKINS (CEO) |
| Mailing Address: | 703 S West St Piketon |
| State: | OH US |
| Postal Code: | 456619549 |
| Phone Number: | 7402892932 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2011 |
| NPI Last Update Date: | 09/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 73-0472 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |