MEDICARE: QUAYE TRANSPORT INC.

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	:	1285109454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUAYE TRANSPORT INC.

Provider Business Mailing Address
First Line	:	1333 CONCORD DR
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23803-4617
Country	:	US
Telephone Number	:	804-908-7047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1333 CONCORD DR
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23803-4617
Country	:	US
Telephone Number	:	804-908-7047
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DANIEL QUAYE
Credential	:
Telephone Number	:	804-908-7047

Provider Enumeration Date	:	10/03/2018
Last Update Date	:	10/03/2018

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Directions to “QUAYE TRANSPORT INC. ” Practice Location

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