MEDICARE: AARON TRANSPORT LLC

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)	90218	MA

General Provider Information

NPI Number	:	1023394327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AARON TRANSPORT LLC

Provider Business Mailing Address
First Line	:	17 GARFIELD ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01108-2009
Country	:	US
Telephone Number	:	413-654-6603
Fax Number	:	413-209-9293

Provider Business Practice Location Address
First Line	:	17 GARFIELD ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01108-2009
Country	:	US
Telephone Number	:	413-654-6603
Fax Number	:	413-209-9293

Authorized Official
Title or Position	:	MANAGER
Name	:	AARON JOSEPH SENEZ
Credential	:
Telephone Number	:	413-654-6603

Provider Enumeration Date	:	10/31/2011
Last Update Date	:	10/31/2011

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