OrganizationActive
PC on Board, LLC
NPI 1093776775 · Non-emergency Medical Transport (VAN) · Fremont, OH
Provider details
- NPI number
- 1093776775
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Laurey Medvick-Tate, Owner(419) 332-3911
- License
- MTB-1051 (OH)
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3134 E State St
Fremont, OH 43420-9280
Phone: (419) 332-3911
Fax: (419) 332-3820
Street-level locationGet directions
Mailing address
3134 E State St
Fremont, OH 43420-9280
Other names (DBA / former)
- Doing business as
- Hart'S Ambulette
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2013-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.