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NPI Code Detail

MEDICARE: LIFELINE MEDTRANS LLC

MEDICARE: LIFELINE MEDTRANS 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)
2343800000XSecured Medical Transport (VAN)

General Provider Information

NPI Number : 1306663166
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFELINE MEDTRANS LLC
Provider Business Mailing Address
First Line : 2208 CALYPSO BAY DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-1754
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2208 CALYPSO BAY DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-1754
Country : US
Telephone Number : 281-685-8352
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TOBY PAGE
Credential :
Telephone Number : 281-685-8352
Provider Enumeration Date : 09/23/2024
Last Update Date : 10/25/2024

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Directions to “LIFELINE MEDTRANS LLC ” Practice Location

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