MEDICARE: GET WELL MEDICAL TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	10-00542-614	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003813254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GET WELL MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	4326 ALGOA AVE
Second Line	:
City	:	BAKER
State	:	LA
Zip	:	70714-4620
Country	:	US
Telephone Number	:	225-778-6943
Fax Number	:	225-778-6943

Provider Business Practice Location Address
First Line	:	4326 ALGOA AVE
Second Line	:
City	:	BAKER
State	:	LA
Zip	:	70714-4620
Country	:	US
Telephone Number	:	225-778-6943
Fax Number	:	225-778-6943

Authorized Official
Title or Position	:	OWNER / OPERATER
Name	:	MRS. TONIA MICHELLE LEWIS
Credential	:
Telephone Number	:	225-603-5370

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	08/22/2020

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Directions to “GET WELL MEDICAL TRANSPORTATION ” Practice Location

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