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NPI Code Detail

MEDICARE: OVCARE MEDICAL TRANSPORT LLC

MEDICARE: OVCARE MEDICAL 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1821922725
Entity Type Code : Organization
Provider Name (Legal Business Name) : OVCARE MEDICAL TRANSPORT LLC
Provider Business Mailing Address
First Line : 166 DELVIN DR
Second Line :
City : ANTIOCH
State : TN
Zip : 37013-4032
Country : US
Telephone Number : 615-310-0008
Fax Number :
Provider Business Practice Location Address
First Line : 166 DELVIN DR
Second Line :
City : ANTIOCH
State : TN
Zip : 37013-4032
Country : US
Telephone Number : 615-310-0008
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : TYWASKA P EWIN
Credential :
Telephone Number : 615-310-0008
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “OVCARE MEDICAL TRANSPORT LLC ” Practice Location

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