Organization
STAT MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG S ACLES (OWNER)
(937) 207-8017
Entity
Organization
Contact information
Practice address
950 W LEFFEL LN, SPRINGFIELD, OH 45506-3538
(937) 207-8017
Mailing address
950 W LEFFEL LN, SPRINGFIELD, OH 45506-3538
(937) 207-8017
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0296165
—
OH
Enumeration date
10/11/2018
Last updated
10/11/2018
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