MEDICARE: NO LIMIT 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)	63865	IN

General Provider Information

NPI Number	:	1396875688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NO LIMIT TRANSPORTATION

Provider Business Mailing Address
First Line	:	5125 GUION RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-1724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5125 GUION RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-1724
Country	:	US
Telephone Number	:	317-403-0809
Fax Number	:	317-925-7140

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT T. MACK
Credential	:
Telephone Number	:	317-403-0809

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	08/22/2020

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