MEDICARE: CANAL TRANSPORT CORPORATION

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	:	1558459586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANAL TRANSPORT CORPORATION

Provider Business Mailing Address
First Line	:	1557 WOOSTER AVE
Second Line	:	SUITE 203
City	:	AKRON
State	:	OH
Zip	:	44320-4061
Country	:	US
Telephone Number	:	330-865-0098
Fax Number	:	330-865-9820

Provider Business Practice Location Address
First Line	:	1557 WOOSTER AVE
Second Line	:	SUITE 203
City	:	AKRON
State	:	OH
Zip	:	44320-4061
Country	:	US
Telephone Number	:	330-865-0098
Fax Number	:	330-865-9820

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. LORETTA COLVIN
Credential	:
Telephone Number	:	330-865-0098

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	06/11/2008

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Directions to “CANAL TRANSPORT CORPORATION ” Practice Location

Language	Start Address	Practice Location

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