| Organization Name: | MEDSTAT OF OHIO, CORP. |
| NPI Number: | 1063551539 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA POPE (VICE-PRESIDENT) |
| Mailing Address: | 113 N Hamilton Rd Whitehall |
| State: | OH US |
| Postal Code: | 432131308 |
| Phone Number: | 6143229075 |
| Fax Number: | 6143229064 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |