Organization
EMERALD TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BAKES (PRESIDENT)
(800) 404-8911
Entity
Organization
Contact information
Practice address
1640 FRANKLIN AVE, SUITE 200, KENT, OH 44240-4383
(800) 404-8911
(330) 673-7475
Mailing address
1640 FRANKLIN AVE, SUITE 200, KENT, OH 44240-4383
(800) 404-8911
(330) 673-7475
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0958736
—
OH
Enumeration date
05/24/2007
Last updated
08/22/2020
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