MEDICARE: M-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
1	343900000X	Non-emergency Medical Transport (VAN)	059800000000415	KS

General Provider Information

NPI Number	:	1912045626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M-TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	3067 RUBY AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-2804
Country	:	US
Telephone Number	:	913-980-7218
Fax Number	:

Provider Business Practice Location Address
First Line	:	3067 RUBY AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-2804
Country	:	US
Telephone Number	:	913-980-7218
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JASON MORALES
Credential	:
Telephone Number	:	913-980-7218

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	08/22/2020

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