Organization Active NPI

Northcoast Med-Trans LLC

  • Transportation Network Company
  • Collins, OH
National Provider Identifier
1003690389
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Legal business name
NORTHCOAST MED-TRANS LLC
Practice address
13504 State Route 61
Collins, OH 44826-9610
Phone
(419) 202-4252
NPI assigned
Aug 21, 2023
Last updated
Aug 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Eric Christopher Lavine
Title
Owner / C.E.O.
Phone
(419) 202-4252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X NU Primary

Addresses

Primary practice location

13504 State Route 61
Collins, OH 44826-9610

Mailing address

13504 State Route 61
Collins, OH 44826-9610
Phone (419) 202-4252

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1003690389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13504 STATE ROUTE 61",
            "city": "COLLINS",
            "state": "OH",
            "postal_code": "448269610",
            "telephone_number": "419-202-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13504 STATE ROUTE 61",
            "city": "COLLINS",
            "state": "OH",
            "postal_code": "448269610",
            "telephone_number": "419-202-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCOAST MED-TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A",
        "authorized_official_last_name": "LAVINE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER / C.E.O.",
        "authorized_official_telephone_number": "419-202-4252"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collins, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.