MEDICARE: INFINITY MEDICAL TRANSPORTATION

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	:	1790324507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	5332 SEBASTIAN CT
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	OH
Zip	:	44143-1941
Country	:	US
Telephone Number	:	440-421-9066
Fax Number	:	440-683-1671

Provider Business Practice Location Address
First Line	:	5332 SEBASTIAN CT
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	OH
Zip	:	44143-1941
Country	:	US
Telephone Number	:	440-421-9066
Fax Number	:	440-683-1671

Authorized Official
Title or Position	:	BUSINESS OFFICE MANAGER
Name	:	LILIYA VOVK
Credential	:
Telephone Number	:	440-421-9066

Provider Enumeration Date	:	12/26/2019
Last Update Date	:	12/26/2019

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Directions to “INFINITY MEDICAL TRANSPORTATION ” Practice Location

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