Provider Demographics
NPI:1851442594
Name:OSTRICH MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:OSTRICH MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-243-1330
Mailing Address - Street 1:497 BROADWAY
Mailing Address - Street 2:SUITE #11
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3710
Mailing Address - Country:US
Mailing Address - Phone:800-420-1330
Mailing Address - Fax:201-243-1332
Practice Address - Street 1:497 BROADWAY
Practice Address - Street 2:SUITE #11
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3710
Practice Address - Country:US
Practice Address - Phone:800-420-1330
Practice Address - Fax:201-243-1332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle