Provider Demographics
NPI:1790209195
Name:CITY TRANSPORT, INC
Entity Type:Organization
Organization Name:CITY TRANSPORT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:513-863-6444
Mailing Address - Street 1:2120 TULEY RD
Mailing Address - Street 2:
Mailing Address - City:VILLAGE OF INDIAN SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:45015-1333
Mailing Address - Country:US
Mailing Address - Phone:513-863-6444
Mailing Address - Fax:513-863-0802
Practice Address - Street 1:2120 TULEY RD
Practice Address - Street 2:
Practice Address - City:VILLAGE OF INDIAN SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:45015-1333
Practice Address - Country:US
Practice Address - Phone:513-863-6444
Practice Address - Fax:513-863-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0214857Medicaid