Provider Demographics
NPI:1396061214
Name:BLUELINE EXPRESS MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:BLUELINE EXPRESS MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MGR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:WINTERSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-720-8333
Mailing Address - Street 1:4841 MONROE STREET
Mailing Address - Street 2:SUITE 235
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4309
Mailing Address - Country:US
Mailing Address - Phone:419-724-4478
Mailing Address - Fax:419-932-6333
Practice Address - Street 1:4121 MONROE ST
Practice Address - Street 2:SUITE 2C
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-2064
Practice Address - Country:US
Practice Address - Phone:419-205-8625
Practice Address - Fax:419-469-8901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
343800000X, 343900000X, 344600000X
OH343800000X, 344600000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi