Provider Demographics
NPI:1467100800
Name:MEDSHIP LLC
Entity Type:Organization
Organization Name:MEDSHIP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-452-6115
Mailing Address - Street 1:100 S LAFAYETTE ST STE C
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:OH
Mailing Address - Zip Code:45311-1022
Mailing Address - Country:US
Mailing Address - Phone:937-452-6115
Mailing Address - Fax:937-452-6078
Practice Address - Street 1:100 S LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:OH
Practice Address - Zip Code:45311-1022
Practice Address - Country:US
Practice Address - Phone:937-452-6115
Practice Address - Fax:937-452-6078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies