Provider Demographics
NPI:1740608512
Name:GUARDIAN EMS, LLC
Entity Type:Organization
Organization Name:GUARDIAN EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDRICK
Authorized Official - Middle Name:W
Authorized Official - Last Name:RENNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-678-0618
Mailing Address - Street 1:5677 CREEK RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4030
Mailing Address - Country:US
Mailing Address - Phone:800-470-8859
Mailing Address - Fax:513-407-7328
Practice Address - Street 1:5677 CREEK RD
Practice Address - Street 2:UNIT B
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-4030
Practice Address - Country:US
Practice Address - Phone:800-470-8859
Practice Address - Fax:513-407-7328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH022069000341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance