Organization Active NPI

MVM Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Euclid, OH
National Provider Identifier
1366568636
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MVM MEDICAL TRANSPORTATION LLC
Practice address
25000 Euclid Ave Ste 205
Euclid, OH 44117-2647
Phone
(216) 732-9569
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Bonita Durham
Title
Owner
Phone
(216) 732-9565

Specialties & licenses 1

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

Addresses

Primary practice location

25000 Euclid Ave Ste 205
Euclid, OH 44117-2647

Mailing address

25000 Euclid Ave Ste 205
Euclid, OH 44117-2647
Phone (216) 732-9569

Other identifiers 1

IdentifierTypeStateIssuer
2529820MedicaidOH

National Provider Directory

National Provider Directory

Locations

25000 Euclid Ave
Ste 205
Euclid, OH 44117
Phone (216) 732-9569

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366568636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 205",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172647",
            "telephone_number": "216-732-9569",
            "fax_number": "216-732-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 205",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172647",
            "telephone_number": "216-732-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVM MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "BONITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-732-9565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2529820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.