MEDICARE: 818 TRANSPORT

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	:	1588539266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	818 TRANSPORT

Provider Business Mailing Address
First Line	:	6512 HARSHMANVILLE RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45424-3517
Country	:	US
Telephone Number	:	937-789-4655
Fax Number	:	937-789-4655

Provider Business Practice Location Address
First Line	:	6512 HARSHMANVILLE RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45424-3517
Country	:	US
Telephone Number	:	937-789-4655
Fax Number	:	937-789-4655

Authorized Official
Title or Position	:	CEO
Name	:	DAMON WOODALL
Credential	:
Telephone Number	:	937-789-4655

Provider Enumeration Date	:	10/10/2025
Last Update Date	:	10/10/2025

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Directions to “818 TRANSPORT ” Practice Location

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