MEDICARE: TOUCAN TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	347C00000X	Private Vehicle
2	347E00000X	Transportation Broker
3	344600000X	Taxi
4	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1679183222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOUCAN TRANSPORTATION

Provider Business Mailing Address
First Line	:	PO BOX 2637
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70059-2637
Country	:	US
Telephone Number	:	504-298-9424
Fax Number	:	504-766-6792

Provider Business Practice Location Address
First Line	:	2439 MANHATTAN BLVD STE 102-4
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-5473
Country	:	US
Telephone Number	:	504-261-4976
Fax Number	:	504-766-6792

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. SAMUEL L. JOHNSON III
Credential	:	CAC, CCGC
Telephone Number	:	504-261-4976

Provider Enumeration Date	:	08/07/2020
Last Update Date	:	11/30/2020

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Directions to “TOUCAN TRANSPORTATION ” Practice Location

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