MEDICARE: NOSIMA MEDICAL TRANSPORT 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	343800000X	Secured Medical Transport (VAN)
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1770454258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOSIMA MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	7501 N BENTSEN PALM DR
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78574-4375
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7501 N BENTSEN PALM DR
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78574-4375
Country	:	US
Telephone Number	:	859-816-6829
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MRS. MARGARET AMISON
Credential	:
Telephone Number	:	859-816-6829

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	10/15/2025

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Directions to “NOSIMA MEDICAL TRANSPORT LLC ” Practice Location

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