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NPI Code Detail

MEDICARE: MAR MAC TRANSPORTATION SERVICES INC

MEDICARE: MAR MAC TRANSPORTATION SERVICES INC
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
13416L0300XLand Ambulance882VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2590013449OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1317940OTHERVAANTHEM BCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427051382
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAR MAC TRANSPORTATION SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 538341
Second Line :
City : ATLANTA
State : GA
Zip : 30353-8341
Country : US
Telephone Number : 866-343-7153
Fax Number : 757-787-9436
Provider Business Practice Location Address
First Line : 5000 INCUBATOR RD
Second Line : STE 101
City : HAMPTON
State : VA
Zip : 23661-1347
Country : US
Telephone Number : 866-343-7153
Fax Number : 757-787-9436
Authorized Official
Title or Position : AR MGR
Name : MR. MATTHEW T ELLIS
Credential :
Telephone Number : 757-655-0029
Provider Enumeration Date : 05/24/2005
Last Update Date : 09/12/2012

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Directions to “MAR MAC TRANSPORTATION SERVICES INC ” Practice Location

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