Organization
NORDSTAR MEDICAL TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT LEKE (CEO)
(614) 370-2207
Entity
Organization
Contact information
Practice address
1659 MORRISON FARMS DR, BLACKLICK, OH 43004-9093
(614) 370-2207
Mailing address
1659 MORRISON FARMS DR, BLACKLICK, OH 43004-9093
(614) 370-2207
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
256415
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
OH
Enumeration date
06/03/2009
Last updated
06/03/2009
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