Provider Demographics
NPI:1386304566
Name:MED-A-LIFT INC
Entity type:Organization
Organization Name:MED-A-LIFT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-327-6214
Mailing Address - Street 1:4368 DRESSLER RD NW STE 104
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2775
Mailing Address - Country:US
Mailing Address - Phone:330-933-7796
Mailing Address - Fax:
Practice Address - Street 1:4368 DRESSLER RD NW STE 104
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2775
Practice Address - Country:US
Practice Address - Phone:330-933-7796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)