Organization
MEDICARE TRANSPORT INC
Active
Other names
Medicore Transport Inc
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA CARGILL (CEO)
(877) 706-4407
Entity
Organization
Contact information
Practice address
6100 OAK TREE BLVD, SUITE 200, INDEPENDENCE, OH 44131-2544
(877) 706-4407
(216) 370-3245
Mailing address
6100 OAK TREE BLVD, SUITE 200, INDEPENDENCE, OH 44131-2544
(877) 706-4407
(216) 370-3245
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1812480
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1812480
OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
OH
01
—
2907AFH
OHIO DEPARTMENT OF MENTAL HEALTH
OH
05
—
2942552
—
OH
Enumeration date
05/10/2013
Last updated
05/10/2013
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