Healthcare Provider Details
I. General information
NPI: 1114800414
Provider Name (Legal Business Name): RMG TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2025
Last Update Date: 07/26/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11-25 SANDERSDALE ROAD
SOUTHBRIDGE MA
01550-2855
US
IV. Provider business mailing address
11-25 SANDERSDALE ROAD
SOUTHBRIDGE MA
01550-2855
US
V. Phone/Fax
- Phone: 774-371-4180
- Fax: 508-519-0763
- Phone: 774-371-4180
- Fax: 508-519-0763
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 342000000X |
| Taxonomy | Transportation Network Company |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LISSETTE
I
GUZMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 774-371-4176