MEDICARE: AMTRAN MEDICAL TRANSPORT 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	3416L0300X	Land Ambulance

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	:	1225305964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMTRAN MEDICAL TRANSPORT INC

Provider Business Mailing Address
First Line	:	PO BOX 676
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30162-0676
Country	:	US
Telephone Number	:	706-291-0043
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 MARTHA BERRY BLVD NW
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30165-1621
Country	:	US
Telephone Number	:	706-291-0043
Fax Number	:	706-622-2157

Authorized Official
Title or Position	:	OWNER
Name	:	ROGER DUNCAN
Credential	:
Telephone Number	:	706-291-0043

Provider Enumeration Date	:	11/23/2011
Last Update Date	:	01/30/2023

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Directions to “AMTRAN MEDICAL TRANSPORT INC ” Practice Location

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