Healthcare Provider Details

I. General information

NPI: 1740547579
Provider Name (Legal Business Name): BTD TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2012
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8809 SALEM RDG
CENTERVILLE OH
45458-6016
US

IV. Provider business mailing address

8809 SALEM RDG
CENTERVILLE OH
45458-6016
US

V. Phone/Fax

Practice location:
  • Phone: 937-401-0073
  • Fax: 937-530-3096
Mailing address:
  • Phone: 937-401-0073
  • Fax: 937-530-3096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. WILLIAM A DEAN III
Title or Position: DIRECTOR OF FINANCE AND OPERATIONS
Credential: BS, MNCN, MCP
Phone: 937-401-0073