MEDICARE: TRANSPORT CONNECTION, 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
1	347C00000X	Private Vehicle	151528905	UT

General Provider Information

NPI Number	:	1922447614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSPORT CONNECTION, INC

Provider Business Mailing Address
First Line	:	1216 E 6600 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-2451
Country	:	US
Telephone Number	:	801-244-4560
Fax Number	:	888-349-8312

Provider Business Practice Location Address
First Line	:	1216 E 6600 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-2451
Country	:	US
Telephone Number	:	801-244-4560
Fax Number	:	888-349-8312

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES MICHAEL JOHNSON
Credential	:
Telephone Number	:	801-244-4560

Provider Enumeration Date	:	06/17/2013
Last Update Date	:	06/17/2013

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Directions to “TRANSPORT CONNECTION, INC ” Practice Location

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