MEDICARE: NATIONAL RISK ASSOCIATES, 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	:	1760279533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL RISK ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	8175 CA-1 #1
Second Line	:
City	:	LITTLE RIVER
State	:	CA
Zip	:	95456
Country	:	US
Telephone Number	:	828-263-2672
Fax Number	:

Provider Business Practice Location Address
First Line	:	8175 CA-1 #1
Second Line	:
City	:	LITTLE RIVER
State	:	CA
Zip	:	95456
Country	:	US
Telephone Number	:	828-263-2672
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	AMY L WAHL
Credential	:
Telephone Number	:	828-263-2672

Provider Enumeration Date	:	04/23/2025
Last Update Date	:	04/23/2025

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