Provider Demographics
NPI:1710349915
Name:MEDI-MILES NON EMERGENCY TRANSPORTATION
Entity Type:Organization
Organization Name:MEDI-MILES NON EMERGENCY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-770-6960
Mailing Address - Street 1:2450 198TH ST
Mailing Address - Street 2:APT 2W
Mailing Address - City:LYNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60411-1387
Mailing Address - Country:US
Mailing Address - Phone:708-889-6804
Mailing Address - Fax:
Practice Address - Street 1:2450 198TH ST
Practice Address - Street 2:APT 2W
Practice Address - City:LYNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60411-1387
Practice Address - Country:US
Practice Address - Phone:708-889-6804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-26
Last Update Date:2016-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)