Basic Information
| Provider Information | |||||||||
| NPI: | 1174517692 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | PATIENT TRANSPORT SERVICES INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 EDISON DR | ||||||||
| Address2: | |||||||||
| City: | MILFORD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 451502729 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135760262 | ||||||||
| FaxNumber: | 5135764388 | ||||||||
| Practice Location | |||||||||
| Address1: | 420 WARDS CORNER RD STE C | ||||||||
| Address2: | |||||||||
| City: | LOVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45140 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138315999 | ||||||||
| FaxNumber: | 5139658786 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/12/2005 | ||||||||
| LastUpdateDate: | 10/29/2020 | ||||||||
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| AuthorizedOfficialLastName: | HERDTNER | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | S. | ||||||||
| AuthorizedOfficialTitleorPosition: | VP, FINANCE,CFO | ||||||||
| AuthorizedOfficialTelephone: | 5135760262 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | 10/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 341600000X | Y | Transportation Services | Ambulance |
ID Information
| ID | Type | State | Issuer | Description | 0566052 | 05 | OH | MEDICAID | 200292930A | 05 | IN | MEDICAID |