Gary Small is a Non-emergency Medical Transport (VAN) based in Medina, OH. Gary Small practices in Medina, OH. The NPI Number for Gary Small is 1174999106 and holds a License No. 525135 (Ohio).
The current practice location address for Gary Small is 285 W Sturbridge Dr, Medina, OH and can be reached out via phone at 330-783-5334.
Location: 285 W Sturbridge Dr, Medina, OH, 44256-3889
Provider Profile Details
NPI Number
1174999106
Provider Name
Gary Small
Credential
Provider Entity Type
Individual
Gender
Male
Address
285 W Sturbridge Dr, Medina, OH, 44256-3889
Phone Number
330-783-5334
Fax Number
Provider Enumeration Date
08/13/2015
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0141850 | 05 | OH |
Provider Business Practice Location Address Details
Address
285 W Sturbridge Dr
City
State
Zip
44256-3889
Phone Number
330-783-5334
Fax Number
Provider Business Mailing Address Details
Address
285 W Sturbridge Dr
City
State
Zip
44256-3889
Phone Number
330-783-5334
Fax Number
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
525135 (Ohio)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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