Organization
MEDIC ON-SITE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD H WALLIS NREMT-P (CEO/PRESIDENT)
(812) 204-9283
Entity
Organization
Contact information
Practice address
4925 HITCH PETERS RD, EVANSVILLE, IN 47711-7916
(812) 204-9283
(812) 479-1144
Mailing address
PO BOX 5145, EVANSVILLE, IN 47716-5145
(812) 204-9283
(812) 479-1144
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1148
IN
Other
Enumeration date
07/18/2011
Last updated
08/28/2014
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