MEDICARE: UPSCALE TRANSPORT OH 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	:	1417640103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPSCALE TRANSPORT OH LLC

Provider Business Mailing Address
First Line	:	1171 TOWNE ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45216-2227
Country	:	US
Telephone Number	:	347-512-3369
Fax Number	:

Provider Business Practice Location Address
First Line	:	1171 TOWNE ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45216-2227
Country	:	US
Telephone Number	:	347-512-3369
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PINCHES ZWEIG
Credential	:
Telephone Number	:	347-512-3369

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	05/30/2023

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Directions to “UPSCALE TRANSPORT OH LLC ” Practice Location

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