MEDICARE: AFC TRANSPORTATION SERVICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3416L0300X	Land Ambulance
2	342000000X	Transportation Network Company
3	343800000X	Secured Medical Transport (VAN)
4	344600000X	Taxi
5	347B00000X	Bus
6	347C00000X	Private Vehicle
7	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1285409144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFC TRANSPORTATION SERVICE LLC

Provider Business Mailing Address
First Line	:	PO BOX 70556
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-0556
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1659 PINEWOOD AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-3974
Country	:	US
Telephone Number	:	419-901-3276
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BERNADETTE CAIN
Credential	:
Telephone Number	:	419-901-3276

Provider Enumeration Date	:	11/21/2023
Last Update Date	:	11/21/2023

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