Organization Active NPI

Mitchen'S Transportation Service Inc

  • Non-emergency Medical Transport (VAN)
  • Tallmadge, OH
National Provider Identifier
1417064882
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
775015 Issued in OH
Legal business name
MITCHEN'S TRANSPORTATION SERVICE INC
Practice address
175 Southwest Ave
Tallmadge, OH 44278-2230
Phone
(330) 836-3485
Fax
(330) 873-3022
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Sherri Lee Mitchen
Title
Treasurer
Phone
(330) 836-3485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 775015 OH Primary

Addresses

Primary practice location

175 Southwest Ave
Tallmadge, OH 44278-2230

Mailing address

175 Southwest Ave
Tallmadge, OH 44278-2230
Phone (330) 836-3485

Other identifiers 1

IdentifierTypeStateIssuer
2633261MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1417064882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SOUTHWEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782230",
            "telephone_number": "330-836-3485",
            "fax_number": "330-873-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SOUTHWEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782230",
            "telephone_number": "330-836-3485",
            "fax_number": "330-873-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHEN'S TRANSPORTATION SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "MITCHEN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "330-836-3485"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "775015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2633261",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.