Provider Demographics
NPI:1346868239
Name:NBH MEDICAL TRANSPORT SERVICE LLC
Entity Type:Organization
Organization Name:NBH MEDICAL TRANSPORT SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOENICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-374-5988
Mailing Address - Street 1:21564 CEDAR BRANCH TRL
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-1286
Mailing Address - Country:US
Mailing Address - Phone:216-374-5988
Mailing Address - Fax:
Practice Address - Street 1:3134 E STATE ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-9280
Practice Address - Country:US
Practice Address - Phone:419-332-3911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)