Provider Demographics
NPI:1770830648
Name:A-TRAN NON-EMERGENCY MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:A-TRAN NON-EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:901-857-7292
Mailing Address - Street 1:6708 ROCKBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38141-7827
Mailing Address - Country:US
Mailing Address - Phone:901-857-7292
Mailing Address - Fax:901-244-6255
Practice Address - Street 1:6708 ROCKBROOK DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38141-7827
Practice Address - Country:US
Practice Address - Phone:901-857-7292
Practice Address - Fax:901-244-6255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN662VXJ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)