Provider Demographics
NPI:1568100972
Name:CUYAHOGA MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:CUYAHOGA MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:216-856-2003
Mailing Address - Street 1:5311 NORTHFIELD RD STE 420D
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-1188
Mailing Address - Country:US
Mailing Address - Phone:216-856-2003
Mailing Address - Fax:
Practice Address - Street 1:5311 NORTHFIELD RD STE 420D
Practice Address - Street 2:
Practice Address - City:BEDFORD HTS
Practice Address - State:OH
Practice Address - Zip Code:44146-1188
Practice Address - Country:US
Practice Address - Phone:216-856-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)