Provider Demographics
NPI:1497509285
Name:OGMC TRANSPORTATION
Entity type:Organization
Organization Name:OGMC TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARVALYN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOWLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-243-4833
Mailing Address - Street 1:71 BIRDSEY ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610-2508
Mailing Address - Country:US
Mailing Address - Phone:203-243-4833
Mailing Address - Fax:860-955-1424
Practice Address - Street 1:71 BIRDSEY ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-2508
Practice Address - Country:US
Practice Address - Phone:203-243-4833
Practice Address - Fax:860-955-1424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)