MEDICARE: 901 EXPRESS TRANSPORTATION

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	:	1437861473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	901 EXPRESS TRANSPORTATION

Provider Business Mailing Address
First Line	:	8053 LAUREL LAKE CV
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-3852
Country	:	US
Telephone Number	:	901-283-5555
Fax Number	:	888-965-9561

Provider Business Practice Location Address
First Line	:	8053 LAUREL LAKE CV
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-3852
Country	:	US
Telephone Number	:	901-283-5555
Fax Number	:	888-965-9561

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARION MORROW
Credential	:
Telephone Number	:	901-283-5555

Provider Enumeration Date	:	12/21/2022
Last Update Date	:	12/21/2022

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Directions to “901 EXPRESS TRANSPORTATION ” Practice Location

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