Healthcare Provider Details

I. General information

NPI: 1659126340
Provider Name (Legal Business Name): URBAN NON-EMERGENCY TRANSPORT INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3195 WOODHILLS DR
MEMPHIS TN
38128-4329
US

IV. Provider business mailing address

905 TWINKLETOWN RD
MEMPHIS TN
38116-3103
US

V. Phone/Fax

Practice location:
  • Phone: 901-282-1234
  • Fax:
Mailing address:
  • Phone: 901-864-0990
  • 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. ANTHONY WILLIAMSON
Title or Position: MANAGING PARTNER
Credential:
Phone: 901-864-0990