Provider Demographics
NPI:1316400690
Name:GREENUP EMERGENCY AMBULANCE SERVICE LLC
Entity Type:Organization
Organization Name:GREENUP EMERGENCY AMBULANCE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTEP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-354-3122
Mailing Address - Street 1:2820 GALLIA ST UNIT 3
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:740-354-3122
Mailing Address - Fax:
Practice Address - Street 1:2828 GALLIA ST UNIT 3
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:740-354-3122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance