MEDICARE: WORLD SERVICE TRANSPORT LC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	342000000X	Transportation Network Company
2	343900000X	Non-emergency Medical Transport (VAN)
3	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1114607959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORLD SERVICE TRANSPORT LC

Provider Business Mailing Address
First Line	:	9535 FOREST LN STE 101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-6390
Country	:	US
Telephone Number	:	270-952-4998
Fax Number	:

Provider Business Practice Location Address
First Line	:	9535 FOREST LN STE 101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-6390
Country	:	US
Telephone Number	:	270-952-4998
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. AMBESA GERMAY
Credential	:
Telephone Number	:	270-952-4998

Provider Enumeration Date	:	07/18/2023
Last Update Date	:	08/10/2023

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Directions to “WORLD SERVICE TRANSPORT LC ” Practice Location

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