Provider Demographics
NPI:1023168382
Name:PHYSICIANS AMBULANCE SERVICE INC
Entity type:Organization
Organization Name:PHYSICIANS AMBULANCE SERVICE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:HESS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:216-823-2100
Mailing Address - Street 1:6670 W SNOWVILLE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-4300
Mailing Address - Country:US
Mailing Address - Phone:216-823-2100
Mailing Address - Fax:216-823-2169
Practice Address - Street 1:9200 NOBLE PARK DR
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-3258
Practice Address - Country:US
Practice Address - Phone:216-823-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1801823416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000207153OtherANTHEM
OH2234933Medicaid
OH2234933Medicaid
OH=========00OtherWORKERS COMPENSATION
OH=========001OtherMMOH