MEDICARE: SUNSHINE MEDICAL TRANSPORT, INC

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)		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518464718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE MEDICAL TRANSPORT, INC

Provider Business Mailing Address
First Line	:	7008 SORCEY RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-1340
Country	:	US
Telephone Number	:	214-938-2489
Fax Number	:

Provider Business Practice Location Address
First Line	:	7008 SORCEY RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-1340
Country	:	US
Telephone Number	:	214-938-2489
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	NEFRINTINA R HAWKINS
Credential	:
Telephone Number	:	682-777-5943

Provider Enumeration Date	:	04/12/2018
Last Update Date	:	02/28/2022

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