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NPI Code Detail

MEDICARE: B&B PROVIDERS LLC

MEDICARE: B&B PROVIDERS 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
1347C00000XPrivate Vehicle
2343900000XNon-emergency Medical Transport (VAN)

Other Identifiers

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

General Provider Information

NPI Number : 1801490792
Entity Type Code : Organization
Provider Name (Legal Business Name) : B&B PROVIDERS LLC
Provider Business Mailing Address
First Line : 5875 FAIRFAX ST NW
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-6761
Country : US
Telephone Number : 330-575-1286
Fax Number :
Provider Business Practice Location Address
First Line : 5875 FAIRFAX ST NW
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-6761
Country : US
Telephone Number : 330-575-1286
Fax Number :
Authorized Official
Title or Position : CEO
Name : CYNTHIA A BURGA
Credential :
Telephone Number : 330-575-1286
Provider Enumeration Date : 11/23/2020
Last Update Date : 11/23/2020

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Directions to “B&B PROVIDERS LLC ” Practice Location

Language Start Address Practice Location
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