MEDICARE: CULTURE MEDICAL TRANSPORT 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	:	1437006400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CULTURE MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	12211 EMILY CV
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39503-2887
Country	:	US
Telephone Number	:	228-314-4062
Fax Number	:

Provider Business Practice Location Address
First Line	:	12211 EMILY CV
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39503-2887
Country	:	US
Telephone Number	:	228-314-4062
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	D'MARCUS RANKIN
Credential	:
Telephone Number	:	228-314-4062

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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