MEDICARE: M&M TRANSPORTATION INC.

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)

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	:	1073797270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M&M TRANSPORTATION INC.

Provider Business Mailing Address
First Line	:	PO BOX 62
Second Line	:
City	:	CUMBERLAND GAP
State	:	TN
Zip	:	37724-0062
Country	:	US
Telephone Number	:	423-869-4584
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 COLWYN AVE
Second Line	:
City	:	CUMBERLAND GAP
State	:	TN
Zip	:	37724
Country	:	US
Telephone Number	:	423-869-4584
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MICHELLE ROBBINS
Credential	:
Telephone Number	:	423-869-4584

Provider Enumeration Date	:	12/24/2007
Last Update Date	:	12/24/2007

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