MEDICARE: AMAZING TRANSPORT, 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	:	1528597523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMAZING TRANSPORT, LLC

Provider Business Mailing Address
First Line	:	6300 MOSSWOOD DR.
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203
Country	:	US
Telephone Number	:	318-237-9071
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 N 18TH ST STE 806
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-4427
Country	:	US
Telephone Number	:	318-605-4028
Fax Number	:

Authorized Official
Title or Position	:	ADMIN.
Name	:	MIESHA FORTNER SANDERS
Credential	:
Telephone Number	:	318-605-4028

Provider Enumeration Date	:	06/05/2017
Last Update Date	:	05/05/2026

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Directions to “AMAZING TRANSPORT, LLC ” Practice Location

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