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NPI Code Detail

MEDICARE: PROACTIVE TRANSPORTATION LLC

MEDICARE: PROACTIVE 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1760316277
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROACTIVE TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 211 S 2ND ST STE 243
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-2207
Country : US
Telephone Number : 931-713-0566
Fax Number :
Provider Business Practice Location Address
First Line : 211 S 2ND ST STE 243
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-2207
Country : US
Telephone Number : 931-713-0566
Fax Number :
Authorized Official
Title or Position : MANAGING PARTNER
Name : SHYMONIQUE BROWN
Credential :
Telephone Number : 931-266-5934
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “PROACTIVE TRANSPORTATION LLC ” Practice Location

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