1447763693 NPI number — 24 7 MEDICAL TRANSPORT COMPANY

Table of content: (NPI 1447763693)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447763693 NPI number — 24 7 MEDICAL TRANSPORT COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
24 7 MEDICAL TRANSPORT COMPANY
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:
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:
1447763693
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
678 PEBBLE BEACH DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44333-2849
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-687-4393
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4322 CRANWOOD PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARRENSVILLE HEIGHTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44128-4002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-510-4797
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/09/2017

Additional Information

Authorized Official

Authorized Official Last Name:
COOLEY
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
216-513-4211

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  34.009187 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com