EASTERN SHORE AMBULANCE INC (NPI# 1205863453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205863453 |
| Entity Type | Organization |
| Organization Name | EASTERN SHORE AMBULANCE INC |
| Other Organization Name | EASTERN SHORE AMBULANCE SERVICE INC |
| Practice Address |
3301 Airline Blvd Portsmouth VA 23701-2661 |
| Mailing Address |
Po Box 538194 Atlanta GA 30353-8194 |
| Practice Telephone | 8663437153 |
| Practice Fax Number | 7577879436 |
| Mailing Telephone | 8663437153 |
| Mailing Fax Number | 7577879436 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | MR. MATTHEW THOMAS ELLIS (AR MANAGER) |
| Authorized Official Telephone | 8663437153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
535 | VA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS PROVIDER NUMB | 098503 | 01 |
| VA | VETRI PROVIDER NUMBER | 13616 | 01 |
| VA | RAILROAD MEDICARE | 590012982 | 01 |
| VA | 9002472 | 05 |
| Other Name | Type Code |
|---|---|
| Eastern Shore Ambulance Service Inc | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | EASTERN SHORE AMBULANCE INC. | 379 N. Front Street, First Med Ems, Wilmington, North Carolina 28401 |
| Street Address |
3301 AIRLINE BLVD |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23701-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792959 | Roz & James,llc | Home Health | 4397 Portsmouth Blvd, Portsmouth, VA 23701 | 2019-10-28 |
| 1487110847 | Corey Jamal Lott | Durable Medical Equipment & Medical Supplies | 1604 Cavalier Blvd, Pontamouth, VA 23701 | 2019-02-11 |
| 1063931558 | Diadem Doyenne, LLC | Prosthetist | 6515 Portsmouth Blvd, Portsmouth, VA 23701 | 2017-09-15 |
| 1629474044 | Cold Hands Warm Heart Home Health Care LLC | Custodial Care Facility | 504 Cherokee Rd Apt E, Portsmouth, VA 23701 | 2014-11-12 |
| 1770846800 | Turning Points Residential Care, LLC | Exclusive Provider Organization | 23 Carver Circle, Portsmouth, VA 23701 | 2012-06-22 |
| 1326242215 | Thomas Michael Kaptur | Military Health Care Provider | Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 | 2007-06-13 |
| 1841494051 | Vlad Vasile Stanila | Specialist | 680 John Paul Jones Circ, Fpo, AP 23701 | 2007-06-12 |
| 1134295512 | Stephen Mark Goldstein | Dentist | 6263 Portsmouth Bld, Portsmouth, VA 23701 | 2006-11-28 |
| 1275620866 | Kool Smiles Van, PC | Dentist | 4072 Victory Blvd., Portsmouth, VA 23701 | 2006-10-06 |
| 1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
| Find all providers in zip 23701 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417510686 | Portsmouth Medic Transport LLC | Ambulance | 2828 Gallia St Unit 2, Portsmouth, OH 45662-4809 | 2019-04-15 |
| 1316400690 | Greenup Emergency Ambulance Service LLC | Ambulance | 2828 Gallia St Unit 3, Portsmouth, OH 45662-4809 | 2019-04-12 |
| 1891276168 | Easy Transit LLC | Ambulance | 303 Effingham St Apt 6a, Portsmouth, VA 23704-2319 | 2018-08-24 |
| 1699011312 | Tidewater Medical Transport, Inc | Ambulance | 2503 Woodrow St Ste 8, Portsmouth, VA 23707-2124 | 2012-12-27 |
| 1053540922 | Emergency Medical Response LLC | Ambulance | 3619 High St, Portsmouth, VA 23707-2531 | 2009-07-13 |
| 1851530521 | Portsmouth Emergency Ambulance Service Inc | Ambulance | 2796 Gallia Street, Portsmouth, OH 45662-4807 | 2009-02-19 |
| 1972618403 | American Ambulance | Ambulance | 1032 Kinneys Ln, Portsmouth, OH 45662-2805 | 2006-08-21 |
| 1457339152 | City of Portsmouth New Hampshire | Ambulance | 170 Court St, Portsmouth, NH 03801-4416 | 2006-01-04 |
| 1962975987 | Medic 1 | Ambulance | 1643 Offnere St, Portsmouth, OH 45662-3537 | 2019-01-03 |
| 1760782783 | Life Emergency Medical Services | Ambulance | 729 6th St, Portsmouth, OH 45662-4030 | 2010-10-25 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23701 |
Please comment or provide details below to improve the information on EASTERN SHORE AMBULANCE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.