Provider Demographics
NPI:1275146078
Name:EMERGENCY MEDICAL TRANSPORT-OHIO
Entity type:Organization
Organization Name:EMERGENCY MEDICAL TRANSPORT-OHIO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:BLEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-370-8342
Mailing Address - Street 1:4057 RHODES AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45662-5556
Mailing Address - Country:US
Mailing Address - Phone:740-529-2120
Mailing Address - Fax:740-888-2519
Practice Address - Street 1:4057 RHODES AVE
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:OH
Practice Address - Zip Code:45662-5556
Practice Address - Country:US
Practice Address - Phone:740-370-8342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0010672Medicaid
OH732802OtherOMTB CERTIFICATION