MEDICARE: VITAL TRANSIT LOGISTICS 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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1104753102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITAL TRANSIT LOGISTICS LLC

Provider Business Mailing Address
First Line	:	801 NE 17TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73105-8405
Country	:	US
Telephone Number	:	405-264-3666
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 NE 17TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73105-8405
Country	:	US
Telephone Number	:	405-264-3666
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	JONATHON SCHAEFER
Credential	:
Telephone Number	:	405-264-3666

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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