MEDICARE: AMERICANA DISABILITY TRANSPORT

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	:	1366860538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICANA DISABILITY TRANSPORT

Provider Business Mailing Address
First Line	:	2549 ORANGE AVE
Second Line	:
City	:	SIGNAL HILL
State	:	CA
Zip	:	90755
Country	:	US
Telephone Number	:	562-595-0800
Fax Number	:	562-595-6900

Provider Business Practice Location Address
First Line	:	2549 ORANGE AVE
Second Line	:
City	:	SIGNAL HILL
State	:	CA
Zip	:	90755-3535
Country	:	US
Telephone Number	:	562-595-0800
Fax Number	:	562-595-6900

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID LEE MORGAN
Credential	:
Telephone Number	:	562-595-0800

Provider Enumeration Date	:	04/03/2014
Last Update Date	:	04/03/2014

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Directions to “AMERICANA DISABILITY TRANSPORT ” Practice Location

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