Provider Demographics
NPI:1861470726
Name:HORIZON MEDICAL TRANSPORTATION, INC
Entity Type:Organization
Organization Name:HORIZON MEDICAL TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-678-8897
Mailing Address - Street 1:1399 BRIMFIELD DR
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-6943
Mailing Address - Country:US
Mailing Address - Phone:330-678-8897
Mailing Address - Fax:330-678-7276
Practice Address - Street 1:1399 BRIMFIELD DR
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-6943
Practice Address - Country:US
Practice Address - Phone:330-678-8897
Practice Address - Fax:330-678-7276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2302314Medicaid