MEDICARE: AMERIHEART MEDICAL TRANSPORTATION

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)

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	:	1316515976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERIHEART MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	1846 E ROSEMEADE PKWY # 390
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-2637
Country	:	US
Telephone Number	:	214-684-9182
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E 101ST TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-5322
Country	:	US
Telephone Number	:	214-684-9182
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CLARISSIA JONES
Credential	:
Telephone Number	:	214-684-9182

Provider Enumeration Date	:	06/10/2021
Last Update Date	:	10/05/2021

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Directions to “AMERIHEART MEDICAL TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

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