MEDICARE: ROSS MEDICAL TRANSPORTATION 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
1	343900000X	Non-emergency Medical Transport (VAN)
2	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1275209017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSS MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	7417 NAVASOTA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-2738
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7417 NAVASOTA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-2738
Country	:	US
Telephone Number	:	346-363-2581
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RASHIDA ROSS
Credential	:
Telephone Number	:	346-363-2581

Provider Enumeration Date	:	08/20/2021
Last Update Date	:	07/08/2022

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