Healthcare Provider Details

I. General information

NPI: 1518151786
Provider Name (Legal Business Name): NEVADA MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 08/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2235 E FLAMINGO RD SUITE 107
LAS VEGAS NV
89119-5129
US

IV. Provider business mailing address

2235 E FLAMINGO RD SUITE 107
LAS VEGAS NV
89119-5129
US

V. Phone/Fax

Practice location:
  • Phone: 702-650-9347
  • Fax: 702-650-0756
Mailing address:
  • Phone: 702-650-9347
  • Fax: 702-650-0756

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: MS. BEATRICE INGRAM
Title or Position: OWNER
Credential: ESQ.
Phone: 702-804-8860