Provider Demographics
NPI:1114212610
Name:PURE NON EMERGENCY MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:PURE NON EMERGENCY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BADEJOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-868-9666
Mailing Address - Street 1:20515 WINDSOR TRACE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-6488
Mailing Address - Country:US
Mailing Address - Phone:832-868-9666
Mailing Address - Fax:281-576-1595
Practice Address - Street 1:20515 WINDSOR TRACE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-6488
Practice Address - Country:US
Practice Address - Phone:832-868-9666
Practice Address - Fax:281-576-1595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10006343416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport