Organization
MEDCORP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BAGE (PRESIDENT CEO)
(419) 727-7000
Entity
Organization
Contact information
Practice address
745 MEDCORP DR, TOLEDO, OH 43608-1376
(419) 727-7000
(419) 727-8439
Mailing address
745 MEDCORP DR, TOLEDO, OH 43608-1376
(419) 727-7000
(419) 727-8439
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
06-C-00579-01
OH
3416L0300X
Land Ambulance
Primary
480142
OH
343900000X
Non-emergency Medical Transport (VAN)
N/A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236266
—
OH
05
—
0492819
—
OH
05
—
0568023
—
OH
05
—
0721026
—
OH
Enumeration date
03/08/2006
Last updated
05/18/2011
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