MEDICARE: ARMEDIA FLEMING

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)

General Provider Information

NPI Number	:	1053114645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMEDIA FLEMING

Provider Business Mailing Address
First Line	:	1136 SAINT ROSE LN
Second Line	:
City	:	CAHOKIA HEIGHTS
State	:	IL
Zip	:	62206-1653
Country	:	US
Telephone Number	:	618-225-1324
Fax Number	:

Provider Business Practice Location Address
First Line	:	1136 SAINT ROSE LN
Second Line	:
City	:	CAHOKIA HEIGHTS
State	:	IL
Zip	:	62206-1653
Country	:	US
Telephone Number	:	618-225-1324
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2025
Last Update Date	:	03/31/2025

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Directions to “ ARMEDIA FLEMING ” Practice Location

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