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NPI Code Detail

MEDICARE: NORTHEAST MEDICAL TRANSIT, INC.

MEDICARE: NORTHEAST MEDICAL TRANSIT, 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
1343900000XNon-emergency Medical Transport (VAN)NNP858LA

General Provider Information

NPI Number : 1598919649
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHEAST MEDICAL TRANSIT, INC.
Provider Business Mailing Address
First Line : PO BOX 2141
Second Line :
City : MONROE
State : LA
Zip : 71207-2141
Country : US
Telephone Number : 318-387-4878
Fax Number : 318-387-1317
Provider Business Practice Location Address
First Line : 2101 TOWER DR
Second Line :
City : MONROE
State : LA
Zip : 71201-5045
Country : US
Telephone Number : 318-387-4878
Fax Number : 318-387-1317
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. HENRY TENNANT
Credential :
Telephone Number : 318-387-4878
Provider Enumeration Date : 11/14/2008
Last Update Date : 11/14/2008

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Directions to “NORTHEAST MEDICAL TRANSIT, INC. ” Practice Location

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