Provider Demographics
NPI:1619922689
Name:TRANSMED, LLC
Entity Type:Organization
Organization Name:TRANSMED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AR MGR.
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:T
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-343-7153
Mailing Address - Street 1:PO BOX 538335
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-8335
Mailing Address - Country:US
Mailing Address - Phone:866-343-7153
Mailing Address - Fax:757-787-9436
Practice Address - Street 1:201 DAYTONA ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-8386
Practice Address - Country:US
Practice Address - Phone:866-343-7153
Practice Address - Fax:757-787-9436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2253416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4203898OtherNC MEDICAID
590014290OtherRAILROAD MEDICARE
SCAB0181Medicaid
590014290OtherRAILROAD MEDICARE