MEDICARE: AME TRANSPORTATION SERVICES 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	347C00000X	Private Vehicle	TJC037	TX
2	347C00000X	Private Vehicle	BX7F801	TX

General Provider Information

NPI Number	:	1356726624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AME TRANSPORTATION SERVICES LLC

Provider Business Mailing Address
First Line	:	303 S MAIN ST
Second Line	:
City	:	COPPERAS COVE
State	:	TX
Zip	:	76522-2237
Country	:	US
Telephone Number	:	254-542-2486
Fax Number	:	254-542-8829

Provider Business Practice Location Address
First Line	:	303 S MAIN ST
Second Line	:
City	:	COPPERAS COVE
State	:	TX
Zip	:	76522-2237
Country	:	US
Telephone Number	:	254-542-2486
Fax Number	:	254-542-8829

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MRS. MERCY E. PELEBO
Credential	:	BSN/RN
Telephone Number	:	254-458-5950

Provider Enumeration Date	:	07/28/2015
Last Update Date	:	07/28/2015

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Directions to “AME TRANSPORTATION SERVICES LLC ” Practice Location

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