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NPI Code Detail

MEDICARE: SMART TRANS LLC

MEDICARE: SMART TRANS 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1588232995
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMART TRANS LLC
Provider Business Mailing Address
First Line : 5401 E VAN BUREN ST UNIT 3054
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-3469
Country : US
Telephone Number : 480-370-9661
Fax Number :
Provider Business Practice Location Address
First Line : 5401 E VAN BUREN ST UNIT 3054
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-3469
Country : US
Telephone Number : 480-370-9661
Fax Number :
Authorized Official
Title or Position : OWNER
Name : WARFA GELLE
Credential :
Telephone Number : 480-370-9461
Provider Enumeration Date : 06/13/2021
Last Update Date : 06/13/2021

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Directions to “SMART TRANS LLC ” Practice Location

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