MEDICARE: WES & CO.

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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000	OTHER		DO NOT HAVE THIS NUMBER

General Provider Information

NPI Number	:	1760047427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WES & CO.

Provider Business Mailing Address
First Line	:	PO BOX 863
Second Line	:
City	:	PRINCE GEORGE
State	:	VA
Zip	:	23875-0841
Country	:	US
Telephone Number	:	804-452-7686
Fax Number	:	804-452-7686

Provider Business Practice Location Address
First Line	:	5524 MULBERRY DR
Second Line	:
City	:	NORTH PRINCE GEORGE
State	:	VA
Zip	:	23860-7327
Country	:	US
Telephone Number	:	804-452-7686
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TAMALA WESCOTT
Credential	:	MSM
Telephone Number	:	804-452-7686

Provider Enumeration Date	:	05/07/2019
Last Update Date	:	05/07/2019

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