NPI

Edgewater Golf Inc

Doing business as Green Wolf Transportation. NPI 1649884123

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2020-09-02
Last updated
2020-09-02

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
2401 Fox Ave SE
City
Minerva OH
Postal code
44657-9146
Phone
(330) 771-4830

Organization contact

Name
Diane Simms
Title
President
Phone
(330) 771-4830

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Minerva, OH. 115 records in the public file.

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