Healthcare Provider Details

I. General information

NPI: 1407004179
Provider Name (Legal Business Name): BTW TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2008
Last Update Date: 09/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 BULLINGTON AVE
MEMPHIS TN
38106-4652
US

IV. Provider business mailing address

831 BULLINGTON AVE
MEMPHIS TN
38106-4652
US

V. Phone/Fax

Practice location:
  • Phone: 901-946-2629
  • Fax: 901-774-2114
Mailing address:
  • Phone:
  • Fax:

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: MR. JAMES A BRIDGES JR.
Title or Position: PRESIDENT
Credential:
Phone: 901-946-2629