MEDICARE: WALTON CARE TRANSPORTATION, 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
1	347E00000X	Transportation Broker

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	:	1811536451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALTON CARE TRANSPORTATION, LLC

Provider Business Mailing Address
First Line	:	2707 MORNINGRIDGE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-8258
Country	:	US
Telephone Number	:	513-628-9909
Fax Number	:

Provider Business Practice Location Address
First Line	:	2707 MORNINGRIDGE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-8258
Country	:	US
Telephone Number	:	513-628-9909
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NATHANIEL WALTON
Credential	:
Telephone Number	:	513-628-9909

Provider Enumeration Date	:	12/30/2019
Last Update Date	:	12/30/2019

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