Provider Demographics
NPI:1225509854
Name:FIRST TRANSIT, INC.
Entity type:Organization
Organization Name:FIRST TRANSIT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HYLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-362-4546
Mailing Address - Street 1:600 VINE ST STE 1400
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-2426
Mailing Address - Country:US
Mailing Address - Phone:513-362-4546
Mailing Address - Fax:
Practice Address - Street 1:16253 SE 130TH AVE
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-8948
Practice Address - Country:US
Practice Address - Phone:503-358-6483
Practice Address - Fax:800-862-3014
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST TRANSIT, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-07
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500735193Medicaid