Provider Demographics
NPI:1295985091
Name:ABLE EMERGENCY MEDICAL SERVICES OF SOUTHWEST OHIO, LLC
Entity type:Organization
Organization Name:ABLE EMERGENCY MEDICAL SERVICES OF SOUTHWEST OHIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHAD
Authorized Official - Middle Name:E
Authorized Official - Last Name:WOOTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-574-5555
Mailing Address - Street 1:PO BOX 315
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-0315
Mailing Address - Country:US
Mailing Address - Phone:740-574-5555
Mailing Address - Fax:740-574-2790
Practice Address - Street 1:8046 OHIO RIVER RD
Practice Address - Street 2:STE B
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-1690
Practice Address - Country:US
Practice Address - Phone:740-574-5555
Practice Address - Fax:740-574-2790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)