Provider Demographics
NPI:1487054540
Name:B & R TRANSPORTATION CORP
Entity type:Organization
Organization Name:B & R TRANSPORTATION CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRADFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-299-6729
Mailing Address - Street 1:2140 LEE RD STE. 215
Mailing Address - Street 2:BUSINESS ADDRESS
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OHIO
Mailing Address - Zip Code:44118
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2140 LEE RD STE 215
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2738
Practice Address - Country:US
Practice Address - Phone:216-299-6729
Practice Address - Fax:216-862-9528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0058229Medicaid