Provider Demographics
NPI:1437434461
Name:EASY MEDICAL ACCESS TRANSPORTATION
Entity Type:Organization
Organization Name:EASY MEDICAL ACCESS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SWAUNCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-230-3568
Mailing Address - Street 1:3993 FUN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TENNESSEE
Mailing Address - Zip Code:4608
Mailing Address - Country:UM
Mailing Address - Phone:901-230-6538
Mailing Address - Fax:901-756-7479
Practice Address - Street 1:3993 FUN VALLEY DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-4608
Practice Address - Country:US
Practice Address - Phone:901-230-3568
Practice Address - Fax:901-756-7479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN111004875343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)