MEDICARE: MATHES TRANSPORT CORP

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1114861440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATHES TRANSPORT CORP

Provider Business Mailing Address
First Line	:	7705 ALDER FOREST ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-4696
Country	:	US
Telephone Number	:	239-446-1679
Fax Number	:

Provider Business Practice Location Address
First Line	:	7705 ALDER FOREST ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-4696
Country	:	US
Telephone Number	:	239-446-1679
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JAMES MATHES
Credential	:
Telephone Number	:	239-446-1679

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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Directions to “MATHES TRANSPORT CORP ” Practice Location

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