Provider Demographics
NPI:1093572604
Name:MERCI TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MERCI TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MESERET
Authorized Official - Middle Name:
Authorized Official - Last Name:TESFAMARIAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-300-2563
Mailing Address - Street 1:8842 WINDING WAY APT 233
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-6469
Mailing Address - Country:US
Mailing Address - Phone:720-300-2563
Mailing Address - Fax:
Practice Address - Street 1:8842 WINDING WAY APT 233
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-6469
Practice Address - Country:US
Practice Address - Phone:720-300-2563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERCI TRANSPORTATION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)