Organization
MEDIC RESPONSE AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS F WAPPNER (PRESIDENT)
(419) 524-3838
Entity
Organization
Contact information
Practice address
230 N MULBERRY ST, MANSFIELD, OH 44902-1055
(419) 524-3838
(419) 774-1799
Mailing address
230 N. MULBERRY ST., P.O. BOX 1514, MANSFIELD, OH 44901-1514
(419) 524-3838
(419) 774-1799
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
700042
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0727502
—
OH
01
—
H195570
MEDICARE PTAN
OH
Enumeration date
01/22/2007
Last updated
11/18/2014
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