Healthcare Provider Details
I. General information
NPI: 1417671868
Provider Name (Legal Business Name): POWERED FREIGHT WORLDWIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2022
Last Update Date: 09/29/2022
Certification Date: 09/29/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4011 E 16TH CT
KANSAS CITY MO
64127-3463
US
IV. Provider business mailing address
PO BOX 270131
KANSAS CITY MO
64127-0131
US
V. Phone/Fax
- Phone: 816-421-2107
- Fax: 816-421-2107
- Phone: 816-421-2107
- Fax: 816-421-2107
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343800000X |
| Taxonomy | Secured Medical Transport (VAN) |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 344600000X |
| Taxonomy | Taxi |
| License Number | |
| License Number State | NULL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | NULL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 342000000X |
| Taxonomy | Transportation Network Company |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
KAREEM
STIGLER
Title or Position: MANAGER
Credential:
Phone: 816-421-2107