Provider Demographics
NPI:1922647494
Name:FIRST CHOICE AMBULANCE LLC
Entity Type:Organization
Organization Name:FIRST CHOICE AMBULANCE LLC
Other - Org Name:FIRST CHOICE AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:VANBIBBER
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:740-546-5166
Mailing Address - Street 1:8891 BASIL WESTERN RD
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9276
Mailing Address - Country:US
Mailing Address - Phone:740-546-5166
Mailing Address - Fax:614-829-6087
Practice Address - Street 1:8891 BASIL WESTERN RD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9276
Practice Address - Country:US
Practice Address - Phone:740-603-8385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-02
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0451898Medicaid
OH230362OtherOHIO EMS LICENSE