MEDICARE: WESTERN MEDICAL TRANSPORTATION LLC

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	:	1578262895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	2000 WESTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4619
Country	:	US
Telephone Number	:	888-881-0188
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 WESTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4619
Country	:	US
Telephone Number	:	888-881-0188
Fax Number	:

Authorized Official
Title or Position	:	PUBLIC RELATIONS LIAISON
Name	:	MR. DOUGLAS KRONER
Credential	:
Telephone Number	:	702-265-7666

Provider Enumeration Date	:	02/24/2023
Last Update Date	:	02/24/2023

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