Healthcare Provider Details

I. General information

NPI: 1649082694
Provider Name (Legal Business Name): MRS. SARAH VINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 NIGHTSTAR CT
MONROE OH
45050-1268
US

IV. Provider business mailing address

703 NIGHTSTAR CT
MONROE OH
45050-1268
US

V. Phone/Fax

Practice location:
  • Phone: 513-267-8918
  • Fax:
Mailing address:
  • Phone: 513-267-8918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: