MEDICARE: TRANSPORT-U, 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)	PSC 3383	MD
2	343900000X	Non-emergency Medical Transport (VAN)	WMATC 1125	DC

General Provider Information

NPI Number	:	1477722734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSPORT-U, LLC

Provider Business Mailing Address
First Line	:	7916 BOUNDING BEND CT
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20855-2549
Country	:	US
Telephone Number	:	240-475-7568
Fax Number	:	301-963-0407

Provider Business Practice Location Address
First Line	:	7916 BOUNDING BEND CT
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20855-2549
Country	:	US
Telephone Number	:	240-475-7568
Fax Number	:	301-963-0407

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. BARBARA ANN HARRY
Credential	:
Telephone Number	:	240-418-5100

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	02/20/2008

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Directions to “TRANSPORT-U, LLC ” Practice Location

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