MEDICARE: GET THERE 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	:	1609359025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GET THERE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	4836 ELYSIAN FIELDS AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-3902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4836 ELYSIAN FIELDS AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-3902
Country	:	US
Telephone Number	:	504-400-2119
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	BENJAMIN BADON
Credential	:
Telephone Number	:	504-400-2119

Provider Enumeration Date	:	09/11/2018
Last Update Date	:	09/11/2018

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