OHIO MED LIFE TRANSPORT LLC (NPI# 1104288091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104288091 |
| Entity Type | Organization |
| Organization Name | OHIO MED LIFE TRANSPORT LLC |
| Practice Address |
29200 Creighton Rd Clarksburg OH 43115-9623 |
| Practice Telephone | 7406002256 |
| Mailing Telephone | 7406002256 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | MS. R LEAH BURKE (OWNER OPERATOR) |
| Authorized Official Telephone | 7406002256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 715075 | OH | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE NUMBER | 715075 | 01 |
| Street Address |
29200 CREIGHTON RD |
| City | CLARKSBURG |
| State | OH |
| Zip Code | 43115-9623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962695940 | Elizabeth Marie Blevins | Licensed Practical Nurse | 3336 Putnam Rd, Clarksburg, OH 43115 | 2007-08-22 |
| 1467573238 | Sheri Lyn Bice-higginbotham | Licensed Practical Nurse | 11068 State Route 207, Clarksburg, OH 43115 | 2007-04-02 |
| 1497161731 | Christine Lugenbeel | Home Health Aide | 17170 High St, Clarksburg, OH 43115-9001 | 2014-07-08 |
| 1194954917 | Becky Kay Duduit | Registered Nurse | 11063 Main St, Clarksburg, OH 43115-9733 | 2009-07-14 |
| 1396995767 | Marianna Schappacher | Registered Nurse | 975 Woodrow Rd, Clarksburg, OH 43115-9757 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730169 | Mary Elizabeth Frame | Registered Nurse | 2645 Crooked Run Rd, Clarksburg, WV 26301-6769 | 2020-11-06 |
| 1871194688 | Billie Sue Griffith | Technician | 366 Chicken Farm Rd, Clarksburg, WV 26301-6550 | 2020-11-06 |
| 1538760566 | John David Barnes | Case Manager/Care Coordinator | 229 W Main St Ste 200, Clarksburg, WV 26301-2966 | 2020-11-05 |
| 1629679881 | Lila Mae Friend | Technician | 160 Sand St, Clarksburg, WV 26301-6008 | 2020-11-04 |
| 1336749126 | Priority Mobility LLC | Non-emergency Medical Transport (VAN) | 12117 Pond Pine Dr, Clarksburg, MD 20871-4474 | 2020-10-29 |
| 1598362220 | Brandie Moore | Technician | 236 Park Blvd, Clarksburg, WV 26301-3521 | 2020-10-06 |
| 1669079604 | Jessica Yvonne Thomas | Military Health Care Provider | 64 Verdant Oak Aly, Clarksburg, MD 20871-3504 | 2020-10-02 |
| 1386250678 | Amanda Culberson | Technician | 4201 Oakmound Dr, Clarksburg, WV 26301-9457 | 2020-09-22 |
| 1396351292 | Carla S Thayer | Technician | 5054 Ash St, Clarksburg, WV 26301-6919 | 2020-09-17 |
| 1528673878 | Ati Holding LLC | Occupational Therapist | 22750 Newcut Rd Ste D1, Clarksburg, MD 20871-5334 | 2020-09-14 |
| Find all providers in CLARKSBURG | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749126 | Priority Mobility LLC | Non-emergency Medical Transport (VAN) | 12117 Pond Pine Dr, Clarksburg, MD 20871-4474 | 2020-10-29 |
| 1427223973 | Harrison County Senior Citizens Center Inc | Non-emergency Medical Transport (VAN) | 500 W Main St, Clarksburg, WV 26301-2819 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386845 | Tijauna Smith | Non-emergency Medical Transport (VAN) | 962 Morningstar Dr, Akron, OH 44307-2208 | 2020-11-05 |
| 1437750429 | Ohio Cares Medical Transportation | Non-emergency Medical Transport (VAN) | 1230 Gabrielle Elaine Dr Apt 303, Columbus, OH 43228-8849 | 2020-11-05 |
| 1023619111 | Madison L Thompson | Non-emergency Medical Transport (VAN) | 2831 E Glenn St, Toledo, OH 43613-1138 | 2020-11-04 |
| 1043811284 | Patricia Baxter Mclaughlin | Non-emergency Medical Transport (VAN) | 466 Rockwood Cir, Peninsula, OH 44264-9537 | 2020-11-04 |
| 1467053710 | Shamika A Gordon | Non-emergency Medical Transport (VAN) | 1074 Valdes Ave, Akron, OH 44320-2636 | 2020-11-03 |
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1144820713 | Andrew Taylor | Non-emergency Medical Transport (VAN) | 108 Old Colony Dr, Delaware, OH 43015-6502 | 2020-10-31 |
| 1801496617 | Robert Floyd Sams | Non-emergency Medical Transport (VAN) | 1148 Monteray Dr, Akron, OH 44305-1770 | 2020-10-30 |
| 1609476936 | Crystal Cleveland | Non-emergency Medical Transport (VAN) | 898 Township Road 210, Marengo, OH 43334-9623 | 2020-10-27 |
| 1508465006 | Katharine Ware | Non-emergency Medical Transport (VAN) | 10029 Pleasant Lake Blvd Apt P-16, Parma, OH 44130-7549 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 43115 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.