Provider Demographics
NPI:1477317618
Name:MEDMILES, LLC
Entity Type:Organization
Organization Name:MEDMILES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:JOHNSON
Authorized Official - Last Name:MCDOUGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-919-5515
Mailing Address - Street 1:133 COUNTY ROAD 743
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72405-7779
Mailing Address - Country:US
Mailing Address - Phone:870-919-1289
Mailing Address - Fax:870-935-3619
Practice Address - Street 1:133 COUNTY ROAD 743
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72405-7779
Practice Address - Country:US
Practice Address - Phone:870-919-1289
Practice Address - Fax:870-935-3619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)