Provider Demographics
NPI:1174040257
Name:INNER CITY TRANSIT
Entity Type:Organization
Organization Name:INNER CITY TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSIST. SUPERVISOR TRANSPORTATION
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-610-3092
Mailing Address - Street 1:1350 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1728
Mailing Address - Country:US
Mailing Address - Phone:330-259-1619
Mailing Address - Fax:330-743-3989
Practice Address - Street 1:1350 5TH AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1728
Practice Address - Country:US
Practice Address - Phone:330-259-1619
Practice Address - Fax:330-743-3989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)