Provider Demographics
NPI:1568170132
Name:MCO TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MCO TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-477-0724
Mailing Address - Street 1:2556 HONEY CREEK CIR UNIT 931
Mailing Address - Street 2:
Mailing Address - City:EAST TROY
Mailing Address - State:WI
Mailing Address - Zip Code:53120-9705
Mailing Address - Country:US
Mailing Address - Phone:414-477-0724
Mailing Address - Fax:
Practice Address - Street 1:2556 HONEY CREEK CIR UNIT 931
Practice Address - Street 2:
Practice Address - City:EAST TROY
Practice Address - State:WI
Practice Address - Zip Code:53120-9705
Practice Address - Country:US
Practice Address - Phone:414-477-0724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)