Provider Demographics
NPI:1396992285
Name:PLANET MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:PLANET MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:HELENA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GLAZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-381-5858
Mailing Address - Street 1:4441 SILSBY RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3938
Mailing Address - Country:US
Mailing Address - Phone:216-381-5858
Mailing Address - Fax:216-381-9028
Practice Address - Street 1:4441 SILSBY RD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-3938
Practice Address - Country:US
Practice Address - Phone:216-381-5858
Practice Address - Fax:216-381-9028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDHF3896347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle