Healthcare Provider Details

I. General information

NPI: 1548988355
Provider Name (Legal Business Name): ARRIVE MEDICAL TRANSPORTATION LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2022
Last Update Date: 08/17/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2809 S BENNETT AVE
WICHITA KS
67217-1914
US

IV. Provider business mailing address

2809 S BENNETT AVE
WICHITA KS
67217-1914
US

V. Phone/Fax

Practice location:
  • Phone: 316-841-0678
  • Fax:
Mailing address:
  • Phone: 316-841-0678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: TOBY MARTIN
Title or Position: OWNER
Credential:
Phone: 316-841-0678