Amy Omlor

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Waynesfield, OH

NPI 1225565971 · NPPES record last updated May 12, 2017

Key facts

NPI
1225565971
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
License
RM419467 (OH)
Practice address
19301 Santa Fe Line Rd
Waynesfield, OH 45896-9424
Phone
(567) 204-6790
NPI assigned
May 12, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RM419467OHMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Omlor Specialized Transport LLC Non-Emergency Medical Transport (Van) Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X RM419467 OH Yes

Addresses

Primary practice location

19301 Santa Fe Line Rd
Waynesfield, OH 45896-9424

Mailing address

19301 Santa Fe Line Rd
Waynesfield, OH 45896-9424
Phone (567) 204-6790

Other providers in Waynesfield, OH

All providers in Waynesfield, OH · Non-emergency Medical Transport (VAN) in Ohio

Sources for this page

Verify at the official NPI Registry.