MEDICARE: TRANSMED

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	:	1538721972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSMED

Provider Business Mailing Address
First Line	:	1447 CALLE CIBOLA
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85635-9301
Country	:	US
Telephone Number	:	702-296-5724
Fax Number	:

Provider Business Practice Location Address
First Line	:	1447 CALLE CIBOLA
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85635-9301
Country	:	US
Telephone Number	:	702-296-5724
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DRIVER
Name	:	MR. RAFAEL WILSON
Credential	:
Telephone Number	:	702-296-5724

Provider Enumeration Date	:	07/06/2019
Last Update Date	:	07/06/2019

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Directions to “TRANSMED ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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