Provider Demographics
NPI:1376548826
Name:MED-TRANS, INC.
Entity Type:Organization
Organization Name:MED-TRANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LUANNE
Authorized Official - Middle Name:W
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-325-4651
Mailing Address - Street 1:PO BOX 1048
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45501-1048
Mailing Address - Country:US
Mailing Address - Phone:937-325-4651
Mailing Address - Fax:937-525-0926
Practice Address - Street 1:714 W COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-2734
Practice Address - Country:US
Practice Address - Phone:937-325-4651
Practice Address - Fax:937-525-0926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH120022341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0715042Medicaid
OH9229231Medicare PIN