Provider Demographics
NPI:1598280380
Name:MEDIC TRANSIT INC
Entity Type:Organization
Organization Name:MEDIC TRANSIT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CONRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:OWINY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-670-2119
Mailing Address - Street 1:331 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-6807
Mailing Address - Country:US
Mailing Address - Phone:267-670-2119
Mailing Address - Fax:
Practice Address - Street 1:331 N OAK ST
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-6807
Practice Address - Country:US
Practice Address - Phone:267-670-2119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
343900000X
PAA6419602344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi