MEDICARE: PROJECT EXPRESS TRANSPORTATION 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	:	1215674452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROJECT EXPRESS TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	388 PLEASANT MEADOW BLVD APT G
Second Line	:
City	:	STOW
State	:	OH
Zip	:	44224-4983
Country	:	US
Telephone Number	:	234-602-8329
Fax Number	:

Provider Business Practice Location Address
First Line	:	388 PLEASANT MEADOW BLVD APT G
Second Line	:
City	:	STOW
State	:	OH
Zip	:	44224-4983
Country	:	US
Telephone Number	:	234-602-8329
Fax Number	:

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. OSMAN SALIH SR.
Credential	:	GM
Telephone Number	:	234-602-8329

Provider Enumeration Date	:	05/18/2022
Last Update Date	:	09/23/2024

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Directions to “PROJECT EXPRESS TRANSPORTATION LLC ” Practice Location

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