MEDICARE: NWT TRANSPORT 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	347E00000X	Transportation Broker
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1174470561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NWT TRANSPORT LLC

Provider Business Mailing Address
First Line	:	2805 VIENNA WOODS DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-6028
Country	:	US
Telephone Number	:	571-458-8807
Fax Number	:

Provider Business Practice Location Address
First Line	:	2805 VIENNA WOODS DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-6028
Country	:	US
Telephone Number	:	571-458-8807
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATHNAEL GHEMBERA
Credential	:
Telephone Number	:	571-458-8807

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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