NPIMap

Organization Active NPI

Countryside Medical Transit, LLC

  • Private Vehicle
  • Conover, OH
National Provider Identifier
1790524940
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
COUNTRYSIDE MEDICAL TRANSIT, LLC
Practice address
979 N State Route 589
Conover, OH 45317-9500
Phone
(937) 405-9787
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Mrs. Robin Suzanne WoodsNPI 1629824339
Title
Owner
Phone
(937) 405-9787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

979 N State Route 589
Conover, OH 45317-9500

Mailing address

979 N State Route 589
Conover, OH 45317-9500
Phone (937) 405-9787

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1790524940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 N STATE ROUTE 589",
            "city": "CONOVER",
            "state": "OH",
            "postal_code": "453179500",
            "telephone_number": "937-405-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 N STATE ROUTE 589",
            "city": "CONOVER",
            "state": "OH",
            "postal_code": "453179500",
            "telephone_number": "937-405-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE MEDICAL TRANSIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-405-9787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.