Organization
MEDPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY REINHOLZ (PRESIDENT)
(216) 587-9715
Entity
Organization
Contact information
Practice address
9400 MIDWEST AVE, CLEVELAND, OH 44125-2420
(216) 587-9715
(216) 662-0052
Mailing address
PO BOX 25277, CLEVELAND, OH 44125-0277
(216) 587-9715
(216) 662-0052
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2243530
—
OH
Enumeration date
05/22/2007
Last updated
04/01/2008
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