Medicare Transport Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

1812480 Issued in OH

Legal business name

MEDICARE TRANSPORT INC

Doing business as

Medicore Transport Inc

Practice address

6100 Oak Tree Blvd
Suite 200
Independence, OH 44131-2544

Phone

(877) 706-4407

Fax

(216) 370-3245

NPI assigned

May 10, 2013

Last updated

May 10, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tanya Cargill

Title

Ceo

Phone

(877) 706-4407

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Medicore Transport Inc Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1003252537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 OAK TREE BLVD",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312544",
            "telephone_number": "877-706-4407",
            "fax_number": "216-370-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 OAK TREE BLVD",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312544",
            "telephone_number": "877-706-4407",
            "fax_number": "216-370-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICARE TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "CARGILL",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-706-4407"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "1812480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF MENTAL HEALTH",
            "identifier": "2907AFH",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2942552",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES",
            "identifier": "1812480",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicore Transport Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tasha M McKenzie
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• Non-emergency Medical Transport (VAN) in Independence, OH
• Providers in Independence, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.