Provider Demographics
NPI:1932429446
Name:UNITED AMBULANCE LLC
Entity type:Organization
Organization Name:UNITED AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:W
Authorized Official - Last Name:RENNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-274-3501
Mailing Address - Street 1:PO BOX 636821
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6821
Mailing Address - Country:US
Mailing Address - Phone:513-274-3501
Mailing Address - Fax:513-332-9225
Practice Address - Street 1:5677A CREEK RD
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-4005
Practice Address - Country:US
Practice Address - Phone:513-274-3501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3106132Medicaid
OH3106132Medicaid