Provider Demographics
NPI:1922541721
Name:EXPRESS MEDICAL SERVICES
Entity Type:Organization
Organization Name:EXPRESS MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CROMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-312-3910
Mailing Address - Street 1:PO BOX 9150
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-9150
Mailing Address - Country:US
Mailing Address - Phone:270-744-9600
Mailing Address - Fax:270-744-8647
Practice Address - Street 1:220 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:OWENSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45160-9509
Practice Address - Country:US
Practice Address - Phone:888-914-6367
Practice Address - Fax:513-735-1191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1303423416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH709664800OtherDOL
OH0198755Medicaid
OHP02107656OtherRAILROAD PTAN
OH000001074113OtherBCBS