Provider Demographics
NPI:1386216059
Name:SUMMER MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:SUMMER MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZERAIYE
Authorized Official - Middle Name:
Authorized Official - Last Name:TESFAMICHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-585-9706
Mailing Address - Street 1:2708 APPLE CROSS CT
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127-6147
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2708 APPLE CROSS CT
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127-6147
Practice Address - Country:US
Practice Address - Phone:615-585-9706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)