Healthcare Provider Details

I. General information

NPI: 1598280380
Provider Name (Legal Business Name): MEDIC TRANSIT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 07/21/2022
Certification Date: 05/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 N OAK ST
LITITZ PA
17543-6807
US

IV. Provider business mailing address

331 N OAK ST
LITITZ PA
17543-6807
US

V. Phone/Fax

Practice location:
  • Phone: 267-670-2119
  • Fax:
Mailing address:
  • Phone: 267-670-2119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License NumberA6419602
License Number StatePA

VIII. Authorized Official

Name: MR. CONRAD OWINY
Title or Position: PARTNER
Credential:
Phone: 267-670-2119