Organization
MEDPRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA R. HATMAKER (PRESIDENT/CEO)
(937) 336-5586
Entity
Organization
Contact information
Practice address
251 W LEXINGTON RD, EATON, OH 45320-9282
(937) 336-5586
(937) 336-5494
Mailing address
251 W LEXINGTON RD, EATON, OH 45320-9282
(937) 336-5586
(937) 336-5494
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
680122
OH
3416L0300X
Land Ambulance
680122
OH
343900000X
Non-emergency Medical Transport (VAN)
685135
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128268
—
OH
Enumeration date
01/22/2015
Last updated
02/27/2017
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