Provider Demographics
NPI:1851197768
Name:MERCURY ALL PRO EMS LLC
Entity type:Organization
Organization Name:MERCURY ALL PRO EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:TIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-640-3502
Mailing Address - Street 1:812 E NATIONAL RD
Mailing Address - Street 2:
Mailing Address - City:VANDALIA
Mailing Address - State:OH
Mailing Address - Zip Code:45377-3016
Mailing Address - Country:US
Mailing Address - Phone:937-640-3502
Mailing Address - Fax:937-221-9221
Practice Address - Street 1:812 E NATIONAL RD
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:OH
Practice Address - Zip Code:45377-3016
Practice Address - Country:US
Practice Address - Phone:937-640-3502
Practice Address - Fax:937-221-9221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance