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NPI Code Detail

MEDICARE: MEDWAY TRANSPORT LLC

MEDICARE: MEDWAY 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 : 1851270987
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDWAY TRANSPORT LLC
Provider Business Mailing Address
First Line : 3215 W CHARLESTON BLVD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2182
Country : US
Telephone Number : 725-577-8636
Fax Number :
Provider Business Practice Location Address
First Line : 3215 W CHARLESTON BLVD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2182
Country : US
Telephone Number : 725-577-8636
Fax Number :
Authorized Official
Title or Position : CFO
Name : DEAMAD CONTEH
Credential :
Telephone Number : 725-577-8636
Provider Enumeration Date : 09/02/2025
Last Update Date : 09/02/2025

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Directions to “MEDWAY TRANSPORT LLC ” Practice Location

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