Provider Demographics
NPI:1649494865
Name:WEATHERS TRANSPORT
Entity type:Organization
Organization Name:WEATHERS TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEW
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERMA
Authorized Official - Middle Name:V
Authorized Official - Last Name:WEATHERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-291-2849
Mailing Address - Street 1:940 GLENSIDE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44121-3442
Mailing Address - Country:US
Mailing Address - Phone:216-924-0458
Mailing Address - Fax:
Practice Address - Street 1:940 GLENSIDE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44121-3442
Practice Address - Country:US
Practice Address - Phone:216-924-0458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1623983343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)