1356962070 NPI number — MED FORCE ONE TRANSPORTATION, LLP.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356962070 NPI number — MED FORCE ONE TRANSPORTATION, LLP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MED FORCE ONE TRANSPORTATION, LLP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356962070
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/19/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5566 JACKSONBURG RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRENTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45067-9731
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-773-1801
Provider Business Mailing Address Fax Number:
513-468-4111

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5566 JACKSONBURG RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRENTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45067-9731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-485-8141
Provider Business Practice Location Address Fax Number:
513-468-4111
Provider Enumeration Date:
05/04/2020

Additional Information

Authorized Official

Authorized Official Last Name:
PENNINGTON
Authorized Official First Name:
CYNTHIA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATIVE PARTNER
Authorized Official Telephone Number:
513-773-1801

Provider Taxonomy Codes

  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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