Healthcare Provider Details

I. General information

NPI: 1942009030
Provider Name (Legal Business Name): 818 TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6512 HARSHMANVILLE ROAD
DAYTON OH
45424
US

IV. Provider business mailing address

8235 OLD TROY PIKE # 118
DAYTON OH
45424-1025
US

V. Phone/Fax

Practice location:
  • Phone: 937-789-4655
  • Fax:
Mailing address:
  • Phone: 937-789-4655
  • 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: DAMON WOODALL
Title or Position: OWNER
Credential:
Phone: 937-789-4655