Provider Demographics
NPI:1114551488
Name:ELITE MEDICAL TRANSPORTATION 2 LLC
Entity type:Organization
Organization Name:ELITE MEDICAL TRANSPORTATION 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-288-7982
Mailing Address - Street 1:425 W SCHROCK RD STE B1
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8718
Mailing Address - Country:US
Mailing Address - Phone:614-288-7982
Mailing Address - Fax:
Practice Address - Street 1:425 W SCHROCK RD STE B1
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8718
Practice Address - Country:US
Practice Address - Phone:614-288-7982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance