Organization Name: | ADALIA MEDICAL TRANSPORT, LLC |
NPI Number: | 1649654708 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEXTER GILLIAM-BEALE (OWNER/PRESIDENT) |
Mailing Address: | 1221 Redbluff Dr B West Carrollton |
State: | OH US |
Postal Code: | 454493198 |
Phone Number: | 9378383380 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | SB199630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |