Healthcare Provider Details

I. General information

NPI: 1972654085
Provider Name (Legal Business Name): A-1 MEDTRAN INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 07/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 S TAYLOR RD
CLEVELAND HEIGHTS OH
44118-2657
US

IV. Provider business mailing address

2060 S TAYLOR RD
CLEVELAND HEIGHTS OH
44118-2657
US

V. Phone/Fax

Practice location:
  • Phone: 216-812-3426
  • Fax:
Mailing address:
  • Phone: 216-812-3426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. BHAVNA PATEL
Title or Position: PRESIDENT
Credential:
Phone: 216-812-3426