Provider Demographics
NPI:1255505038
Name:ALMAZMEDICALTRANSPORTATION
Entity Type:Organization
Organization Name:ALMAZMEDICALTRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARKADIY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-253-4638
Mailing Address - Street 1:27645 BISHOP PARK DR APT 712
Mailing Address - Street 2:
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-2764
Mailing Address - Country:US
Mailing Address - Phone:216-253-4638
Mailing Address - Fax:216-274-9214
Practice Address - Street 1:27645 BISHOP PARK DR APT 712
Practice Address - Street 2:
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-2764
Practice Address - Country:US
Practice Address - Phone:216-253-4638
Practice Address - Fax:216-274-9214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH193XXE343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2806860Medicaid