Healthcare Provider Details

I. General information

NPI: 1881406908
Provider Name (Legal Business Name): CRITERION MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2025
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6867 KELMSCOTT DR
MEMPHIS TN
38119-8407
US

IV. Provider business mailing address

PO BOX 17385
MEMPHIS TN
38187-0385
US

V. Phone/Fax

Practice location:
  • Phone: 901-319-4885
  • Fax:
Mailing address:
  • Phone: 901-319-4885
  • Fax: 901-379-8637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: JARRETT HAMILTON
Title or Position: OWNER
Credential:
Phone: 901-319-4885