Provider Demographics
NPI:1558960815
Name:MERCY MEDTRANS
Entity Type:Organization
Organization Name:MERCY MEDTRANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-638-3810
Mailing Address - Street 1:710 HUNTINGTON PKWY
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5919
Mailing Address - Country:US
Mailing Address - Phone:615-638-3810
Mailing Address - Fax:
Practice Address - Street 1:710 HUNTINGTON PKWY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5919
Practice Address - Country:US
Practice Address - Phone:615-638-3810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)