Organization
STAR MEDICAL TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWAIN LORENZO HAMILTON (PRESIDENT)
(216) 659-6538
Entity
Organization
Contact information
Practice address
16004 BROADWAY AVE, SUITE 206, MAPLE HEIGHTS, OH 44137-2557
(216) 659-6538
Mailing address
16004 BROADWAY AVE, SUITE 206, MAPLE HEIGHTS, OH 44137-2557
(216) 659-6538
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2709359
—
OH
Enumeration date
04/01/2008
Last updated
04/01/2008
Update your record
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