Provider Demographics
NPI:1659126340
Name:URBAN NON-EMERGENCY TRANSPORT INCORPORATED
Entity Type:Organization
Organization Name:URBAN NON-EMERGENCY TRANSPORT INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-864-0990
Mailing Address - Street 1:905 TWINKLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-3103
Mailing Address - Country:US
Mailing Address - Phone:901-864-0990
Mailing Address - Fax:
Practice Address - Street 1:3195 WOODHILLS DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-4329
Practice Address - Country:US
Practice Address - Phone:901-282-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)