Healthcare Provider Details

I. General information

NPI: 1053119008
Provider Name (Legal Business Name): MEDI CABS MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 HARRISON AVE
CINCINNATI OH
45211-5702
US

IV. Provider business mailing address

3002 HARRISON AVE
CINCINNATI OH
45211-5702
US

V. Phone/Fax

Practice location:
  • Phone: 513-481-2227
  • Fax: 513-481-0015
Mailing address:
  • Phone: 513-481-2227
  • Fax: 513-481-0015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name: CLIFFORD LEROY ALEXANDER
Title or Position: PRESIDENT
Credential:
Phone: 513-481-2227