Organization
MERCHANT TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JAMES JACKSON JR. (PRESIDENT)
(216) 214-8907
Entity
Organization
Contact information
Practice address
720 LINCOLN BLVD, BEDFORD, OH 44146-3730
(216) 214-8907
Mailing address
P.O BOX 37247, BEDFORD, OH 44146
(216) 214-8907
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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