Healthcare Provider Details
I. General information
NPI: 1649555285
Provider Name (Legal Business Name): NOW MEDICAL TRANSPORTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/14/2011
Last Update Date: 10/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1015 LOCUST ST SUITE 909
SAINT LOUIS MO
63101-1334
US
IV. Provider business mailing address
1015 LOCUST ST SUITE 909
SAINT LOUIS MO
63101-1334
US
V. Phone/Fax
- Phone: 314-436-3200
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | MO |
VIII. Authorized Official
Name: MR.
SHAWN
D
MONROE
Title or Position: OWNER
Credential: MA
Phone: 314-436-3200