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NPI Code Detail

MEDICARE: PACIFIC TRANSPORTATION SERVICES, LLC

MEDICARE: PACIFIC TRANSPORTATION SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)189155OH

General Provider Information

NPI Number : 1033474127
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACIFIC TRANSPORTATION SERVICES, LLC
Provider Business Mailing Address
First Line : 3665 W 117TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5215
Country : US
Telephone Number : 216-458-5756
Fax Number : 216-812-1121
Provider Business Practice Location Address
First Line : 3665 W 117TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5215
Country : US
Telephone Number : 216-458-5756
Fax Number : 216-812-1121
Authorized Official
Title or Position : ADMIN
Name : ABDULLAHI A ALI
Credential :
Telephone Number : 216-396-5051
Provider Enumeration Date : 07/05/2012
Last Update Date : 07/05/2012

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Directions to “PACIFIC TRANSPORTATION SERVICES, LLC ” Practice Location

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