Healthcare Provider Details

I. General information

NPI: 1548707532
Provider Name (Legal Business Name): AEGIS TRANSPORTATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2017
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 HAMPDEN DR STE 5
SOUTH EASTON MA
02375-1948
US

IV. Provider business mailing address

16 HAMPDEN DR STE 5
SOUTH EASTON MA
02375-1948
US

V. Phone/Fax

Practice location:
  • Phone: 508-297-1419
  • Fax: 508-297-1149
Mailing address:
  • Phone: 508-297-1419
  • Fax: 508-297-1149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MAC A FAYE
Title or Position: GENERAL MANAGER
Credential:
Phone: 508-297-1419