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NPI Code Detail

MEDICARE: CAREVANS MEDICAL TRANSPORT SERVICES, LLC

MEDICARE: CAREVANS MEDICAL TRANSPORT SERVICES, 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
1343900000XNon-emergency Medical Transport (VAN)NV20101206773NV

General Provider Information

NPI Number : 1477814853
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREVANS MEDICAL TRANSPORT SERVICES, LLC
Provider Business Mailing Address
First Line : 7320 SMOKE RANCH RD STE F
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0259
Country : US
Telephone Number : 702-522-7700
Fax Number : 702-522-7701
Provider Business Practice Location Address
First Line : 7320 SMOKE RANCH RD STE F
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0259
Country : US
Telephone Number : 702-522-7700
Fax Number : 702-522-7701
Authorized Official
Title or Position : OWNER
Name : RUTH LATULIPPE
Credential :
Telephone Number : 702-552-7700
Provider Enumeration Date : 06/02/2012
Last Update Date : 06/02/2012

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