Healthcare Provider Details

I. General information

NPI: 1104790922
Provider Name (Legal Business Name): ATLAS MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 STEEPLE ST STE 202
MASHPEE MA
02649-3287
US

IV. Provider business mailing address

13 STEEPLE ST STE 202
MASHPEE MA
02649-3287
US

V. Phone/Fax

Practice location:
  • Phone: 508-562-7390
  • Fax: 508-445-0773
Mailing address:
  • Phone: 508-562-7390
  • Fax: 508-445-0773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BETHANY GARY
Title or Position: OWNER
Credential:
Phone: 508-562-7390