Provider Demographics
NPI:1497263107
Name:STRATEGIC EMS LLC
Entity Type:Organization
Organization Name:STRATEGIC EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-446-9090
Mailing Address - Street 1:PO BOX 481
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:OH
Mailing Address - Zip Code:45050-0481
Mailing Address - Country:US
Mailing Address - Phone:513-446-9090
Mailing Address - Fax:
Practice Address - Street 1:10179 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1555
Practice Address - Country:US
Practice Address - Phone:513-446-9090
Practice Address - Fax:888-418-6385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-16
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3416L0300X, 343900000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
H521350OtherMEDICARE PART B
OH0285358Medicaid
OHP02054707OtherRAILROAD MEDICARE