MEDICARE: TAMMYS 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)	S5544509	VA

General Provider Information

NPI Number	:	1063899490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMMYS TRANSPORT LLC.

Provider Business Mailing Address
First Line	:	8200 PLEASANT GROVE RD
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2304
Country	:	US
Telephone Number	:	804-237-4370
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 PLEASANT GROVE RD
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2304
Country	:	US
Telephone Number	:	804-237-4370
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TAMMIE TERRELL HOGGARD
Credential	:
Telephone Number	:	804-237-4370

Provider Enumeration Date	:	05/06/2015
Last Update Date	:	05/06/2015

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