1922122092 NPI number — SUNTUN MEDICAL TRANSPORTATION INC.

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 1922122092 NPI number — SUNTUN MEDICAL TRANSPORTATION INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUNTUN MEDICAL TRANSPORTATION INC.
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:
1922122092
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4075 E 79TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44105-5109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-641-6113
Provider Business Mailing Address Fax Number:
216-441-3425

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4075 E 79TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44105-5109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-641-6113
Provider Business Practice Location Address Fax Number:
216-441-3425
Provider Enumeration Date:
03/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GBADEGESIN
Authorized Official First Name:
ADEMOLA
Authorized Official Middle Name:
OLATUNJI
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
216-287-2201

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , 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)





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