MEDICARE: GMTCARE 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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1891084828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GMTCARE LLC

Provider Business Mailing Address
First Line	:	3645 W OQUENDO ROAD
Second Line	:	SUITE #400
City	:	LAS VEGAS
State	:	NV
Zip	:	89118
Country	:	US
Telephone Number	:	702-979-9696
Fax Number	:	702-979-9686

Provider Business Practice Location Address
First Line	:	3645 W OQUENDO ROAD
Second Line	:	SUITE #400
City	:	LAS VEGAS
State	:	NV
Zip	:	89118
Country	:	US
Telephone Number	:	702-979-9696
Fax Number	:	702-979-9686

Authorized Official
Title or Position	:	PRESIDIENT
Name	:	IOAN BEJGU
Credential	:
Telephone Number	:	702-979-9696

Provider Enumeration Date	:	03/30/2011
Last Update Date	:	12/31/2019

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