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NPI Code Detail

MEDICARE: 901TRU CARE TRANSPORT

MEDICARE: 901TRU CARE TRANSPORT
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
1347C00000XPrivate Vehicle

General Provider Information

NPI Number : 1700596012
Entity Type Code : Organization
Provider Name (Legal Business Name) : 901TRU CARE TRANSPORT
Provider Business Mailing Address
First Line : 7119 BROOK MILL CV
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-4193
Country : US
Telephone Number : 901-334-7116
Fax Number :
Provider Business Practice Location Address
First Line : 7119 BROOK MILL CV
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-4193
Country : US
Telephone Number : 901-334-7116
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PAMELA GREENWOOD
Credential :
Telephone Number : 901-334-7116
Provider Enumeration Date : 11/28/2022
Last Update Date : 11/28/2022

Similar Medicare Providers

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Directions to “901TRU CARE TRANSPORT ” Practice Location

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