Organization
APPALACHIAN MEDRIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HACKER (OWNER OPERATOR)
(937) 515-1526
Entity
Organization
Contact information
Practice address
160 ROUNDHOUSE CIR, GEORGETOWN, OH 45121-9053
(937) 515-1526
Mailing address
160 ROUNDHOUSE CIR, GEORGETOWN, OH 45121-9053
(937) 515-1526
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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