MEDICARE: MU'MIN TRANSPORTATION SERVICE ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)		MO

General Provider Information

NPI Number	:	1033389853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MU'MIN TRANSPORTATION SERVICE ASSOCIATION

Provider Business Mailing Address
First Line	:	11118 COLLEGE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64137-2220
Country	:	US
Telephone Number	:	816-564-2466
Fax Number	:	816-965-7420

Provider Business Practice Location Address
First Line	:	11118 COLLEGE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64137-2220
Country	:	US
Telephone Number	:	816-564-2466
Fax Number	:	816-965-7420

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DAVID M. BYRD
Credential	:
Telephone Number	:	816-564-2466

Provider Enumeration Date	:	03/07/2008
Last Update Date	:	03/07/2008

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