Provider Demographics
NPI:1750362893
Name:STRATEGIC AMBULANCE, INC.
Entity type:Organization
Organization Name:STRATEGIC AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-456-2642
Mailing Address - Street 1:251 W LEXINGTON RD
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:OH
Mailing Address - Zip Code:45320-9282
Mailing Address - Country:US
Mailing Address - Phone:937-456-2642
Mailing Address - Fax:937-456-1425
Practice Address - Street 1:251 W LEXINGTON RD
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320-9282
Practice Address - Country:US
Practice Address - Phone:937-456-2642
Practice Address - Fax:937-456-1425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH680102341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2442155Medicare ID - Type Unspecified
OH9336821Medicare ID - Type Unspecified