MEDICARE: MSN TRANSPORTATION 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	:	1417522590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MSN TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	182 HISTORIC WEST
Second Line	:
City	:	GARYVILLE
State	:	LA
Zip	:	70051
Country	:	US
Telephone Number	:	504-914-5552
Fax Number	:

Provider Business Practice Location Address
First Line	:	182 HISTORIC WEST
Second Line	:
City	:	GARYVILLE
State	:	LA
Zip	:	70051
Country	:	US
Telephone Number	:	504-914-5552
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRANDI SINCLAIR
Credential	:
Telephone Number	:	504-914-5552

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	05/21/2021

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Directions to “MSN TRANSPORTATION LLC ” Practice Location

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