MEDICARE: TRUSTWAY MEDICAL 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)

General Provider Information

NPI Number	:	1467388256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTWAY MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	4121 POLK FOREST CIR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-3376
Country	:	US
Telephone Number	:	517-505-3441
Fax Number	:

Provider Business Practice Location Address
First Line	:	4121 POLK FOREST CIR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-3376
Country	:	US
Telephone Number	:	517-505-3441
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CUBWA INNOCENTE
Credential	:
Telephone Number	:	517-505-3441

Provider Enumeration Date	:	06/20/2026
Last Update Date	:	06/20/2026

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Directions to “TRUSTWAY MEDICAL TRANSPORTATION ” Practice Location

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