Provider Demographics
NPI:1346973716
Name:NEEDARIDEMEDICALTRANSPORTLLC
Entity Type:Organization
Organization Name:NEEDARIDEMEDICALTRANSPORTLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MONTE
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:UNGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-244-6778
Mailing Address - Street 1:1131 STRINGERS RIDGE RD APT 11A
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-3252
Mailing Address - Country:US
Mailing Address - Phone:423-244-6778
Mailing Address - Fax:
Practice Address - Street 1:1131 STRINGERS RIDGE RD APT 11A
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-3252
Practice Address - Country:US
Practice Address - Phone:423-244-6778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)