MEDICARE: CM ONTHE SPOT MEDICAL TRANSPORTATION

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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1033562467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CM ONTHE SPOT MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	9702 HELMSLEY WAY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-2466
Country	:	US
Telephone Number	:	513-498-1613
Fax Number	:

Provider Business Practice Location Address
First Line	:	9702 HELMSLEY WAY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-2466
Country	:	US
Telephone Number	:	513-498-1613
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. LA'TICIA ANN MATTHEWS
Credential	:
Telephone Number	:	513-498-1613

Provider Enumeration Date	:	07/21/2016
Last Update Date	:	07/21/2016

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