MEDICARE: GREAT MEASURES TRANSPORTATION 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	:	1972209476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT MEASURES TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	2121 N SHERWOOD FOREST DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-1962
Country	:	US
Telephone Number	:	225-256-0603
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 N SHERWOOD FOREST DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-1962
Country	:	US
Telephone Number	:	225-256-0603
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	LONTARRIS ALLANDA WILLIAMS
Credential	:
Telephone Number	:	225-384-9536

Provider Enumeration Date	:	02/06/2023
Last Update Date	:	02/06/2023

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