# MEDIC RESPONSE AMBULANCE SERVICE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679626527
- **Authorized official:** MR. THOMAS F WAPPNER (PRESIDENT)
- **Authorized official phone:** (419) 524-3838

## Contact information

- **Practice address:** 230 N MULBERRY ST, MANSFIELD, OH 44902-1055
- **Practice address phone:** (419) 524-3838
- **Practice address fax:** (419) 774-1799
- **Mailing address:** 230 N. MULBERRY ST., P.O. BOX 1514, MANSFIELD, OH 44901-1514
- **Mailing address phone:** (419) 524-3838
- **Mailing address fax:** (419) 774-1799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 700042 | OH | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 11/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0727502 | — | OH |
| 01 | — | H195570 | MEDICARE PTAN | OH |