MEDICARE: ONTIME MEDTRANS 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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	882603105	OTHER	TN	TRANSPORTATION
2	001322572	OTHER	TN	TRANSPORT

General Provider Information

NPI Number	:	1447987284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONTIME MEDTRANS LLC

Provider Business Mailing Address
First Line	:	1001 NORCROSS DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-1211
Country	:	US
Telephone Number	:	615-372-4373
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 NORCROSS DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-1211
Country	:	US
Telephone Number	:	615-372-4373
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	IBRAHIM TALAFHAH
Credential	:
Telephone Number	:	615-372-4373

Provider Enumeration Date	:	08/02/2022
Last Update Date	:	08/26/2022

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