MEDICARE: DOC TRANSPORTATION CORP

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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407022239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOC TRANSPORTATION CORP

Provider Business Mailing Address
First Line	:	11811 SHAKER BLVD
Second Line	:	SUITE 316
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1931
Country	:	US
Telephone Number	:	216-721-4353
Fax Number	:	216-721-4363

Provider Business Practice Location Address
First Line	:	11811 SHAKER BLVD
Second Line	:	SUITE 316
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1931
Country	:	US
Telephone Number	:	216-721-4353
Fax Number	:	216-721-4363

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. DELMARR O CALHOUN SR.
Credential	:
Telephone Number	:	216-240-0314

Provider Enumeration Date	:	05/01/2008
Last Update Date	:	05/01/2008

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Directions to “DOC TRANSPORTATION CORP ” Practice Location

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