Provider Demographics
NPI:1225383177
Name:2-E-Z MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:2-E-Z MEDICAL TRANSPORTATION
Other - Org Name:NO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-744-4369
Mailing Address - Street 1:13504 CHAPELSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-4612
Mailing Address - Country:US
Mailing Address - Phone:216-744-4369
Mailing Address - Fax:216-921-8409
Practice Address - Street 1:13504 CHAPELSIDE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-4612
Practice Address - Country:US
Practice Address - Phone:216-744-4369
Practice Address - Fax:216-921-8409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-17
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH189035343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0060631Medicaid