Provider Demographics
NPI:1053584078
Name:AMERICAN CARE MEDICAL TRANSPORTATION,INC
Entity type:Organization
Organization Name:AMERICAN CARE MEDICAL TRANSPORTATION,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RACHID
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:MAKDAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-253-3980
Mailing Address - Street 1:3615 SUPERIOR AVE E
Mailing Address - Street 2:SUITE 3101F
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-4138
Mailing Address - Country:US
Mailing Address - Phone:216-881-0793
Mailing Address - Fax:
Practice Address - Street 1:3615 SUPERIOR AVE E
Practice Address - Street 2:SUITE 3101F
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-4138
Practice Address - Country:US
Practice Address - Phone:216-881-0793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2613809261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility