Provider Demographics
NPI:1518151786
Name:NEVADA MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:NEVADA MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:702-804-8860
Mailing Address - Street 1:2235 E FLAMINGO RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5129
Mailing Address - Country:US
Mailing Address - Phone:702-650-9347
Mailing Address - Fax:702-650-0756
Practice Address - Street 1:2235 E FLAMINGO RD
Practice Address - Street 2:SUITE 107
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5129
Practice Address - Country:US
Practice Address - Phone:702-650-9347
Practice Address - Fax:702-650-0756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)