Provider Demographics
NPI:1376334102
Name:ARTAKA TRANSPORT
Entity type:Organization
Organization Name:ARTAKA TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUSSAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-506-5477
Mailing Address - Street 1:3398 BRADLEY RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-3706
Mailing Address - Country:US
Mailing Address - Phone:440-506-5477
Mailing Address - Fax:
Practice Address - Street 1:32980 WEBBER RD
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012-2328
Practice Address - Country:US
Practice Address - Phone:440-506-5477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)