Healthcare Provider Details

I. General information

NPI: 1053899112
Provider Name (Legal Business Name): ALL AMERICAN TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2018
Last Update Date: 08/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 WEST AVE
MT WASHINGTON KY
40047
US

IV. Provider business mailing address

211 WEST AVE
MT WASHINGTON KY
40047-7636
US

V. Phone/Fax

Practice location:
  • Phone: 270-543-2891
  • Fax:
Mailing address:
  • Phone: 270-543-2891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TRACY D LEWIS
Title or Position: MANAGER
Credential:
Phone: 270-543-2891