MEDICARE: CADAMEYS MEDICAL TRANSPORTATION 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1376982884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CADAMEYS MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	2027 WEDGEWOOD DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-5030
Country	:	US
Telephone Number	:	314-685-4687
Fax Number	:	314-475-5910

Provider Business Practice Location Address
First Line	:	2027 WEDGEWOOD DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-5030
Country	:	US
Telephone Number	:	314-685-4687
Fax Number	:	314-475-5910

Authorized Official
Title or Position	:	SOLE OWNER
Name	:	DELORES CADAMEY
Credential	:
Telephone Number	:	314-685-4687

Provider Enumeration Date	:	06/18/2013
Last Update Date	:	06/18/2013

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