=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710849187
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEDIGO MEDICAL TRANSPORT SERVICE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/24/2025
-----------------------------------------------------
Last Update Date | 11/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7 E BANCROFT ST STE 5
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43620-1916
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-754-0278
-----------------------------------------------------
Fax | 419-504-5816
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4240 ASBURY DR
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43612-1806
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-754-0278
-----------------------------------------------------
Fax | 419-754-0278
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/OWNER
-----------------------------------------------------
Name | KRISTIN L MONCRIEF
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 419-754-0278
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 342000000X
-----------------------------------------------------
Taxonomy Name | Transportation Network Company
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------