MEDICARE: MEDIC ONE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	31-010-2	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336145382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDIC ONE, INC.

Provider Business Mailing Address
First Line	:	9709 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-3515
Country	:	US
Telephone Number	:	513-984-2001
Fax Number	:	513-984-9143

Provider Business Practice Location Address
First Line	:	9709 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-3515
Country	:	US
Telephone Number	:	513-984-2001
Fax Number	:	513-984-9143

Authorized Official
Title or Position	:	CORPORATE DIRECTOR OF OPERATIONS
Name	:	DENNIS YOUNG
Credential	:
Telephone Number	:	513-984-2001

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	08/22/2020

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