Provider Demographics
NPI:1306014006
Name:NOVA MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:NOVA MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DIAB
Authorized Official - Middle Name:JUBARAH
Authorized Official - Last Name:SAGIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-544-9660
Mailing Address - Street 1:4011 HILLMAN WAY
Mailing Address - Street 2:SUITE #140
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-1135
Mailing Address - Country:US
Mailing Address - Phone:330-544-9660
Mailing Address - Fax:330-788-2426
Practice Address - Street 1:4011 HILLMAN WAY
Practice Address - Street 2:SUITE #140
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-1135
Practice Address - Country:US
Practice Address - Phone:330-544-9660
Practice Address - Fax:330-788-2426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)