Provider Demographics
NPI:1215388947
Name:STATTEE MEDICAL TRANSPOPRTATION INC
Entity Type:Organization
Organization Name:STATTEE MEDICAL TRANSPOPRTATION INC
Other - Org Name:STATE MEDICAL TRANSPORTATION INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HASHI
Authorized Official - Middle Name:KHALIF
Authorized Official - Last Name:SAID
Authorized Official - Suffix:SR
Authorized Official - Credentials:06/10/2016
Authorized Official - Phone:615-609-9229
Mailing Address - Street 1:340 SCHOOLHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013
Mailing Address - Country:US
Mailing Address - Phone:615-609-9229
Mailing Address - Fax:612-354-2182
Practice Address - Street 1:340 SCHOOLHOUSE CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013
Practice Address - Country:US
Practice Address - Phone:615-609-9229
Practice Address - Fax:612-354-2182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000841969343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)