MEDICARE: ASSURE TRANSPORTATION SERVICES, 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)

Other Identifiers

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

General Provider Information

NPI Number	:	1740608819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURE TRANSPORTATION SERVICES, LLC

Provider Business Mailing Address
First Line	:	1962 W HAMPTON AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-5772
Country	:	US
Telephone Number	:	414-372-9888
Fax Number	:	414-372-9884

Provider Business Practice Location Address
First Line	:	1962 W HAMPTON AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-5772
Country	:	US
Telephone Number	:	414-372-9888
Fax Number	:	414-372-9884

Authorized Official
Title or Position	:	OWNER
Name	:	RELONDIA DELANEY
Credential	:	RN
Telephone Number	:	414-372-9888

Provider Enumeration Date	:	04/04/2014
Last Update Date	:	04/04/2014

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Directions to “ASSURE TRANSPORTATION SERVICES, LLC ” Practice Location

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