Organization
OHIO MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GEBHART (CREDENTIALING SPECIALIST)
(937) 877-1235
Entity
Organization
Contact information
Practice address
2740 W NATIONAL RD, DAYTON, OH 45414-1108
(937) 877-1235
(937) 387-9370
Mailing address
PO BOX 307, TIPP CITY, OH 45371-0307
(937) 877-1235
(937) 387-9370
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061966
—
OH
Enumeration date
06/02/2010
Last updated
11/07/2018
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