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NPI Code Detail

MEDICARE: ABC TRANSPORTATION, INC

MEDICARE: ABC TRANSPORTATION, INC
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
1347E00000XTransportation Broker

General Provider Information

NPI Number : 1639538044
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABC TRANSPORTATION, INC
Provider Business Mailing Address
First Line : 3104 S PRESCOTT AVE
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64015-1125
Country : US
Telephone Number : 816-686-8948
Fax Number : 816-817-6662
Provider Business Practice Location Address
First Line : 3104 S PRESCOTT AVE
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64015-1125
Country : US
Telephone Number : 816-686-8948
Fax Number : 816-817-6662
Authorized Official
Title or Position : GENERAL MANAGER
Name : MR. DON MAURIECE PAYNE
Credential :
Telephone Number : 816-686-8948
Provider Enumeration Date : 02/12/2016
Last Update Date : 02/12/2016

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Directions to “ABC TRANSPORTATION, INC ” Practice Location

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