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NPI Code Detail

MEDICARE: FREE STATE TRANSPORT LLC

MEDICARE: FREE STATE 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1194692707
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREE STATE TRANSPORT LLC
Provider Business Mailing Address
First Line : 2821 HEMLOCK AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21214-1246
Country : US
Telephone Number : 443-509-8100
Fax Number :
Provider Business Practice Location Address
First Line : 6340 SECURITY BLVD STE 100
Second Line :
City : GWYNN OAK
State : MD
Zip : 21207-5284
Country : US
Telephone Number : 443-509-8100
Fax Number :
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : RON BOATRIGHT
Credential :
Telephone Number : 443-509-8100
Provider Enumeration Date : 10/20/2025
Last Update Date : 10/28/2025

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Directions to “FREE STATE TRANSPORT LLC ” Practice Location

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