MEDICARE: ACE NON-EMERGENCY MEDICAL TRANPORT

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	:	1487342614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACE NON-EMERGENCY MEDICAL TRANPORT

Provider Business Mailing Address
First Line	:	1960 MADISON ST STE J
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-8039
Country	:	US
Telephone Number	:	931-980-2657
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 DEAN DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37040-3981
Country	:	US
Telephone Number	:	931-980-2657
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALECIA BROWN
Credential	:
Telephone Number	:	931-980-2657

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	04/26/2023

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