MEDICARE: SAGE MEDICAL TRANSPORTATION

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	172A00000X	Driver

General Provider Information

NPI Number	:	1780540625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGE MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	5909 TALBOT DR
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-7482
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5909 TALBOT DR
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-7482
Country	:	US
Telephone Number	:	410-812-6108
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VALERIE ETIENNE
Credential	:	LNHA
Telephone Number	:	410-812-6108

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “SAGE MEDICAL TRANSPORTATION ” Practice Location

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