MEDICARE: WILKS TRANSPORT 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	:	1437702974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILKS TRANSPORT LLC

Provider Business Mailing Address
First Line	:	5660 SOUTHWYCK BLVD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1566
Country	:	US
Telephone Number	:	419-410-5280
Fax Number	:

Provider Business Practice Location Address
First Line	:	5660 SOUTHWYCK BLVD # 200-H
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1566
Country	:	US
Telephone Number	:	419-410-5280
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHERITA WILKS
Credential	:
Telephone Number	:	419-410-5280

Provider Enumeration Date	:	07/23/2019
Last Update Date	:	05/15/2026

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