Provider Demographics
NPI:1073797270
Name:M&M TRANSPORTATION INC.
Entity Type:Organization
Organization Name:M&M TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-869-4584
Mailing Address - Street 1:PO BOX 62
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND GAP
Mailing Address - State:TN
Mailing Address - Zip Code:37724-0062
Mailing Address - Country:US
Mailing Address - Phone:423-869-4584
Mailing Address - Fax:
Practice Address - Street 1:611 COLWYN AVE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND GAP
Practice Address - State:TN
Practice Address - Zip Code:37724
Practice Address - Country:US
Practice Address - Phone:423-869-4584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT000181Medicaid