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NPI Code Detail

MEDICARE: MCBRIDES TRANSPORT LLC

MEDICARE: MCBRIDES 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
1344600000XTaxi
2347B00000XBus
3347C00000XPrivate Vehicle
4343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1114605524
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCBRIDES TRANSPORT LLC
Provider Business Mailing Address
First Line : 3528 N PHILIP ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5713
Country : US
Telephone Number : 267-300-1868
Fax Number :
Provider Business Practice Location Address
First Line : 3528 N PHILIP ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5713
Country : US
Telephone Number : 267-300-1868
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : ZIKIA MCBRIDE
Credential :
Telephone Number : 267-300-1868
Provider Enumeration Date : 07/06/2023
Last Update Date : 07/06/2023

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Directions to “MCBRIDES TRANSPORT LLC ” Practice Location

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