Provider Demographics
NPI:1700055688
Name:BEANE'S MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:BEANE'S MEDICAL TRANSPORTATION
Other - Org Name:MEDI-CAB LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:BEANE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:901-737-6334
Mailing Address - Street 1:8258 AMBER SPRINGS CV
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-6725
Mailing Address - Country:US
Mailing Address - Phone:901-737-6334
Mailing Address - Fax:901-309-0799
Practice Address - Street 1:8258 AMBER SPRINGS CV
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6725
Practice Address - Country:US
Practice Address - Phone:901-737-6334
Practice Address - Fax:901-309-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0200802462343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)