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NPI Code Detail

MEDICARE: 55 TRANSPORTATION INC

MEDICARE: 55 TRANSPORTATION INC
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)

General Provider Information

NPI Number : 1093345316
Entity Type Code : Organization
Provider Name (Legal Business Name) : 55 TRANSPORTATION INC
Provider Business Mailing Address
First Line : 388 PLEASANT MEADOW BLVD APT E
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44224-4983
Country : US
Telephone Number : 708-314-8620
Fax Number :
Provider Business Practice Location Address
First Line : 388 PLEASANT MEADOW BLVD APT E
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44224-4983
Country : US
Telephone Number : 708-314-8620
Fax Number :
Authorized Official
Title or Position : OWNER
Name : HASSAN SATI MOHAMEDNOUR
Credential :
Telephone Number : 708-314-8620
Provider Enumeration Date : 01/26/2020
Last Update Date : 01/26/2020

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Directions to “55 TRANSPORTATION INC ” Practice Location

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