MEDICARE: QUICK MEDTRANSPORT LLC

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	:	1053157685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUICK MEDTRANSPORT LLC

Provider Business Mailing Address
First Line	:	9915 7TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98106-3096
Country	:	US
Telephone Number	:	206-384-1656
Fax Number	:

Provider Business Practice Location Address
First Line	:	9915 7TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98106-3096
Country	:	US
Telephone Number	:	206-384-1656
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. DANIEL H ABRAHAM
Credential	:	NON-EMERGENCY MEDICA
Telephone Number	:	206-384-1656

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	07/03/2024

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