Provider Demographics
NPI:1285902932
Name:C R TRANSPORTATION LLC
Entity type:Organization
Organization Name:C R TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-367-1464
Mailing Address - Street 1:10421 WALKINGFERN DR
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-1625
Mailing Address - Country:US
Mailing Address - Phone:513-367-1464
Mailing Address - Fax:513-367-1479
Practice Address - Street 1:10421 WALKINGFERN DR
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-1625
Practice Address - Country:US
Practice Address - Phone:513-367-1464
Practice Address - Fax:513-367-1479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2630497Medicaid