MEDICARE: TRANSPORT MEDICAL SUPPLY, 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1568550184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSPORT MEDICAL SUPPLY, INC

Provider Business Mailing Address
First Line	:	PO BOX 1732
Second Line	:
City	:	LA PLACE
State	:	LA
Zip	:	70069-1732
Country	:	US
Telephone Number	:	985-479-1986
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 WOODLAND DR
Second Line	:
City	:	LA PLACE
State	:	LA
Zip	:	70068-5963
Country	:	US
Telephone Number	:	985-479-1986
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. GAIL COLEMAN
Credential	:
Telephone Number	:	985-479-1986

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	08/22/2020

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