MEDICARE: 1900TRANSPORTNOW, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	305R00000X	Preferred Provider Organization
2	305S00000X	Point of Service
3	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1558653543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1900TRANSPORTNOW, INC.

Provider Business Mailing Address
First Line	:	9030 NORTH FWY STE 210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77037-2113
Country	:	US
Telephone Number	:	877-900-8767
Fax Number	:	866-610-0608

Provider Business Practice Location Address
First Line	:	9030 NORTH FWY STE 210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77037-2113
Country	:	US
Telephone Number	:	877-900-8767
Fax Number	:	866-610-0608

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. SHEILA PHILLIPS
Credential	:
Telephone Number	:	18779008767

Provider Enumeration Date	:	05/09/2011
Last Update Date	:	05/09/2011

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