Provider Demographics
NPI:1336310242
Name:AA MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:AA MEDICAL TRANSPORTATION LLC
Other - Org Name:DARLA M CONTIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:CONTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-345-1368
Mailing Address - Street 1:415 HICKORY POST CT
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-3786
Mailing Address - Country:US
Mailing Address - Phone:636-345-1368
Mailing Address - Fax:636-327-6031
Practice Address - Street 1:415 HICKORY POST CT
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-3786
Practice Address - Country:US
Practice Address - Phone:636-345-1368
Practice Address - Fax:636-327-6031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2536347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO347C00000XOtherMEDICAL TRANSPORTATION