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NPI Code Detail

MEDICARE: BEYOND TRANSPORTATION LLC

MEDICARE: BEYOND 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
1343900000XNon-emergency Medical Transport (VAN)

Other Identifiers

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

General Provider Information

NPI Number : 1588125678
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEYOND TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 100 CUMMINGS CTR STE 307G
Second Line :
City : BEVERLY
State : MA
Zip : 01915-6107
Country : US
Telephone Number : 978-335-4451
Fax Number :
Provider Business Practice Location Address
First Line : 100 CUMMINGS CTR STE 307G
Second Line :
City : BEVERLY
State : MA
Zip : 01915-6107
Country : US
Telephone Number : 978-335-4451
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. EHIMEN EDOKPA
Credential :
Telephone Number : 978-335-4451
Provider Enumeration Date : 03/29/2019
Last Update Date : 03/29/2019

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Directions to “BEYOND TRANSPORTATION LLC ” Practice Location

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