MEDICARE: NEVADA 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	:	1518151786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	2235 E FLAMINGO RD
Second Line	:	SUITE 107
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5129
Country	:	US
Telephone Number	:	702-650-9347
Fax Number	:	702-650-0756

Provider Business Practice Location Address
First Line	:	2235 E FLAMINGO RD
Second Line	:	SUITE 107
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5129
Country	:	US
Telephone Number	:	702-650-9347
Fax Number	:	702-650-0756

Authorized Official
Title or Position	:	OWNER
Name	:	MS. BEATRICE INGRAM
Credential	:	ESQ.
Telephone Number	:	702-804-8860

Provider Enumeration Date	:	08/30/2007
Last Update Date	:	08/30/2007

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Directions to “NEVADA MEDICAL TRANSPORTATION ” Practice Location

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