Provider Demographics
NPI:1053879593
Name:PORTSMOUTH AMBULETTE SERVICES
Entity type:Organization
Organization Name:PORTSMOUTH AMBULETTE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-357-4299
Mailing Address - Street 1:2820 GALLIA ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-4809
Mailing Address - Country:US
Mailing Address - Phone:740-351-2624
Mailing Address - Fax:
Practice Address - Street 1:2820 GALLIA ST UNIT 2
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-4809
Practice Address - Country:US
Practice Address - Phone:740-351-2625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi