MEDICARE: FC TRANSPORTATION LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1023707510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FC TRANSPORTATION LLC.

Provider Business Mailing Address
First Line	:	3658 RUNNYMEDE BLVD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-1366
Country	:	US
Telephone Number	:	216-244-7388
Fax Number	:

Provider Business Practice Location Address
First Line	:	2139 HAMILTON AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-1143
Country	:	US
Telephone Number	:	216-244-7388
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TERRY FLONNORY
Credential	:
Telephone Number	:	216-244-7388

Provider Enumeration Date	:	05/02/2023
Last Update Date	:	04/10/2026

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