Organization
MEDINA TRANSPORT TAXI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SCHROEDER (OFFICE MANAGER)
(585) 798-5200
Entity
Organization
Contact information
Practice address
493 E CENTER ST, MEDINA, NY 14103-1653
(585) 798-5200
Mailing address
493 E CENTER ST, MEDINA, NY 14103-1653
(585) 798-5200
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03822671
—
NY
Enumeration date
03/13/2019
Last updated
03/13/2019
Update your record
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