MEDICARE: MERCY MEDTRANS

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	:	1558960815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY MEDTRANS

Provider Business Mailing Address
First Line	:	710 HUNTINGTON PKWY
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-5919
Country	:	US
Telephone Number	:	615-638-3810
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 HUNTINGTON PKWY
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-5919
Country	:	US
Telephone Number	:	615-638-3810
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALI NAZIR
Credential	:
Telephone Number	:	615-638-3810

Provider Enumeration Date	:	10/19/2020
Last Update Date	:	10/19/2020

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Directions to “MERCY MEDTRANS ” Practice Location

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