Provider Demographics
NPI:1508306440
Name:USAMBULANCE CO LLC
Entity Type:Organization
Organization Name:USAMBULANCE CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:DELAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-491-0888
Mailing Address - Street 1:PO BOX 762
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-0762
Mailing Address - Country:US
Mailing Address - Phone:513-491-0888
Mailing Address - Fax:
Practice Address - Street 1:801 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-9306
Practice Address - Country:US
Practice Address - Phone:513-491-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-26
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01927917OtherRAILROAD MEDICARE
OH000001085571OtherANTHEM BCBS
OH0231585Medicaid