Provider Demographics
NPI:1689656456
Name:NON EMERGENCY TRANSPORT INC.
Entity Type:Organization
Organization Name:NON EMERGENCY TRANSPORT INC.
Other - Org Name:NETI
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:817-885-8662
Mailing Address - Street 1:PO BOX 11097
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-0097
Mailing Address - Country:US
Mailing Address - Phone:817-885-8662
Mailing Address - Fax:817-885-8677
Practice Address - Street 1:620 SOUTH FWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3505
Practice Address - Country:US
Practice Address - Phone:817-885-8662
Practice Address - Fax:817-885-8677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)