Organization
SPIRIT MEDICAL TRANSPORT, LLC
Active
Parent organization
SPIRIT MEDICAL TRANSPORT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPIRIT MEDICAL TRANSPORT, LLC
Authorized official
MR. BRIAN K. HATHAWAY (CO-OWNER/OPERATOR)
(937) 548-2800
Entity
Organization
Contact information
Practice address
5484 OHIO ROUTE 49 SOUTH, GREENVILLE, OH 45331-1031
(937) 548-2800
(937) 548-2826
Mailing address
5484 OHIO ROUTE 49 SOUTH, GREENVILLE, OH 45331-1031
(937) 548-2800
(937) 548-2826
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
190062
OH
341600000X
Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
195055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2737757
—
OH
05
—
2740421
—
OH
Enumeration date
10/23/2006
Last updated
09/30/2011
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