MEDICARE: SPT 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1821891607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPT MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	10341 WILLIAM FORTYE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-5012
Country	:	US
Telephone Number	:	618-509-1031
Fax Number	:

Provider Business Practice Location Address
First Line	:	10341 WILLIAM FORTYE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-5012
Country	:	US
Telephone Number	:	618-509-1031
Fax Number	:	618-509-1031

Authorized Official
Title or Position	:	OWNER
Name	:	JUAN STEPNEY
Credential	:
Telephone Number	:	618-509-1031

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	03/28/2025

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Directions to “SPT MEDICAL TRANSPORT LLC ” Practice Location

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