Provider Demographics
NPI:1548901655
Name:S&S MEDICAL TRANSPORT INC.
Entity type:Organization
Organization Name:S&S MEDICAL TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MAX
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-538-9605
Mailing Address - Street 1:8642 BOTKINS RD
Mailing Address - Street 2:
Mailing Address - City:BOTKINS
Mailing Address - State:OH
Mailing Address - Zip Code:45306-9757
Mailing Address - Country:US
Mailing Address - Phone:937-538-9605
Mailing Address - Fax:937-795-3108
Practice Address - Street 1:8642 BOTKINS RD
Practice Address - Street 2:
Practice Address - City:BOTKINS
Practice Address - State:OH
Practice Address - Zip Code:45306-9757
Practice Address - Country:US
Practice Address - Phone:937-538-9605
Practice Address - Fax:937-795-3108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1568124295OtherNON-EMERGENCY MEDICAL TRANSPORT (VAN)