Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edgewater Golf Inc

Organization Transportation Broker · NPI 1649884123

Edgewater Golf Inc is a Transportation Broker in Minerva, Ohio. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2401 Fox Ave SE
Minerva, OH 44657-9146
Phone: (330) 771-4830
Fax: (330) 862-2510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Transportation Broker (primary) Taxonomy 347E00000X

Record details

NPI number1649884123
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEdgewater Golf Inc
Authorized official Diane Simms — President · (330) 771-4830
Other names Green Wolf Transportation
NPI enumeratedSeptember 2, 2020
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020
Mailing address2401 Fox Ave Se, Minerva, OH 44657-9146

Other providers in Minerva