Provider Demographics
NPI:1730464447
Name:ROBINAUGH EMS, LLC
Entity Type:Organization
Organization Name:ROBINAUGH EMS, LLC
Other - Org Name:ROBINAUGH EMERGENCY MEDICAL SERVICES, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-593-9748
Mailing Address - Street 1:10 HUNTER PL
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-3000
Mailing Address - Country:US
Mailing Address - Phone:937-593-9748
Mailing Address - Fax:937-599-2341
Practice Address - Street 1:10 HUNTER PL
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-3000
Practice Address - Country:US
Practice Address - Phone:937-593-9748
Practice Address - Fax:937-599-2341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
OH465055343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0056744Medicaid
OHP01018644OtherMEDICARE RAILROAD
OH0056744Medicaid