MEDICARE: MEDI SERVICE 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	:	1477418564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDI SERVICE LLC

Provider Business Mailing Address
First Line	:	1 FREDERICK CT # 304
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-7704
Country	:	US
Telephone Number	:	717-422-4954
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 FREDERICK CT # 304
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-7704
Country	:	US
Telephone Number	:	717-422-4954
Fax Number	:

Authorized Official
Title or Position	:	EMPLOYEE
Name	:	KEIVAN ROSTAMI
Credential	:
Telephone Number	:	717-422-4954

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “MEDI SERVICE LLC ” Practice Location

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