MEDICARE: LOGISTIC IDEAS 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)

General Provider Information

NPI Number	:	1356209563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOGISTIC IDEAS TRANSPORTATION

Provider Business Mailing Address
First Line	:	248 NICHOLSON ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-2510
Country	:	US
Telephone Number	:	910-273-1110
Fax Number	:

Provider Business Practice Location Address
First Line	:	1763 COLUMBIA RD NW STE 175
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-2891
Country	:	US
Telephone Number	:	771-242-0859
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DARRION GATES
Credential	:
Telephone Number	:	910-273-1110

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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