Healthcare Provider Details

I. General information

NPI: 1700595493
Provider Name (Legal Business Name): TRIPOD TRANSPORTATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 COUNTRY DR APT 12
NASHVILLE TN
37211-6471
US

IV. Provider business mailing address

5510 COUNTRY DR APT 12
NASHVILLE TN
37211-6471
US

V. Phone/Fax

Practice location:
  • Phone: 615-707-5047
  • Fax:
Mailing address:
  • Phone: 615-707-5047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CHUKWUDI ECHETEBU
Title or Position: OWNER
Credential:
Phone: 615-707-5047