MEDICARE: SARGBA 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)

General Provider Information

NPI Number	:	1114756434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARGBA TRANSPORTATION

Provider Business Mailing Address
First Line	:	108 FISHERVILLE RD # SITE2
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03303-1003
Country	:	US
Telephone Number	:	603-219-6813
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 FISHERVILLE RD # SITE2
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03303-1003
Country	:	US
Telephone Number	:	603-219-6813
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	THOMAS SAYSAW
Credential	:
Telephone Number	:	603-219-6813

Provider Enumeration Date	:	07/26/2024
Last Update Date	:	07/26/2024

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Directions to “SARGBA TRANSPORTATION ” Practice Location

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