Provider Demographics
NPI:1710147384
Name:COUNTY MED
Entity Type:Organization
Organization Name:COUNTY MED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARSHEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-253-9968
Mailing Address - Street 1:4591 ANDORRA DR
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-2436
Mailing Address - Country:US
Mailing Address - Phone:216-235-9968
Mailing Address - Fax:
Practice Address - Street 1:4591 ANDORRA DR
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-2436
Practice Address - Country:US
Practice Address - Phone:216-235-9968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)