National Provider Identifier Database

EDGEWATER GOLF INC
Transportation Broker

An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.


Contact Information

EDGEWATER GOLF INC
2401 FOX AVE SE
MINERVA, OH44657-9146
Phone: 330-771-4830
Fax: 330-862-2510
Website:
Specialty Taxonomy Code
* Transportation Broker 347E00000X

* Indicates primary specialty

NPI Profile & details for EDGEWATER GOLF INC

NPI Number 1649884123
Legal business name
LBN
EDGEWATER GOLF INC
Authorized official DIANE SIMMS - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 09/02/2020
Last updated 09/02/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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