MEDICARE: EMAN TRANSPORTATION SERVICES

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	347E00000X	Transportation Broker
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1497904353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMAN TRANSPORTATION SERVICES

Provider Business Mailing Address
First Line	:	6909 ENGLE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3473
Country	:	US
Telephone Number	:	216-752-8384
Fax Number	:

Provider Business Practice Location Address
First Line	:	6909 ENGLE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3473
Country	:	US
Telephone Number	:	216-752-8384
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. KIM GULLIE
Credential	:
Telephone Number	:	216-752-8384

Provider Enumeration Date	:	09/16/2008
Last Update Date	:	09/16/2008

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Directions to “EMAN TRANSPORTATION SERVICES ” Practice Location

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