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NPI Code Detail

MEDICARE: MERIDIAN MOBILITY LLC

MEDICARE: MERIDIAN MOBILITY 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)
2343800000XSecured Medical Transport (VAN)

General Provider Information

NPI Number : 1821831736
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERIDIAN MOBILITY LLC
Provider Business Mailing Address
First Line : 801 TRAVIS ST STE 2101
Second Line : PMB 1127
City : HOUSTON
State : TX
Zip : 77002-5730
Country : US
Telephone Number : 832-461-9817
Fax Number :
Provider Business Practice Location Address
First Line : 801 TRAVIS ST STE 2101
Second Line : PMB 1127
City : HOUSTON
State : TX
Zip : 77002-5730
Country : US
Telephone Number : 832-461-9817
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : LUCKY OGEGE
Credential :
Telephone Number : 832-461-9817
Provider Enumeration Date : 06/18/2024
Last Update Date : 08/06/2024

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Directions to “MERIDIAN MOBILITY LLC ” Practice Location

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