The Potter Group Dba Black and White Paratransit

Primary specialty

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

License

485475 Issued in OH

Legal business name

THE POTTER GROUP DBA BLACK AND WHITE PARATRANSIT

Practice address

4665 W Bancroft St
Toledo, OH 43615-3945

Phone

(419) 536-3722

Fax

(419) 464-0330

NPI assigned

Dec 5, 2016

Last updated

Dec 5, 2016By 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

Victoria Lynn Flahie

Title

Operations/HR Assistant

Phone

(419) 536-3722

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1194269571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 W BANCROFT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153945",
            "telephone_number": "419-536-3722",
            "fax_number": "419-464-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 W BANCROFT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153945",
            "telephone_number": "419-536-3722",
            "fax_number": "419-464-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POTTER GROUP DBA BLACK AND WHITE PARATRANSIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "FLAHIE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPERATIONS/HR ASSISTANT",
        "authorized_official_telephone_number": "419-536-3722"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "485475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102618",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Toledo, OH
• Providers in Toledo, 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 Dec 5, 2016; 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.