Provider Demographics
NPI:1235371451
Name:SCENIC VIEW TRANSPORTATION, INC
Entity Type:Organization
Organization Name:SCENIC VIEW TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:EIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-244-0657
Mailing Address - Street 1:PO BOX 417
Mailing Address - Street 2:
Mailing Address - City:HARTVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44632-0417
Mailing Address - Country:US
Mailing Address - Phone:330-244-0657
Mailing Address - Fax:330-244-8570
Practice Address - Street 1:2258 NIMISHILLEN CHURCH RD.
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44721-1026
Practice Address - Country:US
Practice Address - Phone:330-244-0657
Practice Address - Fax:330-244-8570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2902916Medicaid