Provider Demographics
NPI:1881583177
Name:MEDI-TRANS GROUP LLC
Entity type:Organization
Organization Name:MEDI-TRANS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GRAZIELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-283-4040
Mailing Address - Street 1:3607 ROSEMONT AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-6943
Mailing Address - Country:US
Mailing Address - Phone:717-283-4040
Mailing Address - Fax:
Practice Address - Street 1:3607 ROSEMONT AVE STE 403
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-6943
Practice Address - Country:US
Practice Address - Phone:717-283-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)