MEDICARE: BLAND HEALTHCARE SERVICES

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)

General Provider Information

NPI Number	:	1841917523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLAND HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	16900 LIBBY RD
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-1310
Country	:	US
Telephone Number	:	216-333-3428
Fax Number	:

Provider Business Practice Location Address
First Line	:	16900 LIBBY RD
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-1310
Country	:	US
Telephone Number	:	216-333-3428
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. SAMUEL BLAND
Credential	:
Telephone Number	:	216-333-3428

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	10/24/2022

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