=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073419404
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOREVER EMPATHY MEDICAL TRANSPORTATION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/14/2026
-----------------------------------------------------
Last Update Date | 10/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 E MOCKINGBIRD LN
-----------------------------------------------------
City | VALLIANT
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74764-9085
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-900-0878
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 400 E MOCKINGBIRD LN
-----------------------------------------------------
City | VALLIANT
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74764-9085
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-900-0878
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. JO ANN FRAZIER
-----------------------------------------------------
Credential | MEDICAL ASSISTANT
-----------------------------------------------------
Telephone | 903-900-0878
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------