Provider Demographics
NPI:1902384993
Name:SHOW-ME MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SHOW-ME MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / GM
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-372-5544
Mailing Address - Street 1:31358 AQUA VITA RD
Mailing Address - Street 2:
Mailing Address - City:GRAVOIS MILLS
Mailing Address - State:MO
Mailing Address - Zip Code:65037
Mailing Address - Country:US
Mailing Address - Phone:573-372-5544
Mailing Address - Fax:573-372-5466
Practice Address - Street 1:31358 AQUA VITA RD
Practice Address - Street 2:
Practice Address - City:GRAVOIS MILLS
Practice Address - State:MO
Practice Address - Zip Code:65037
Practice Address - Country:US
Practice Address - Phone:573-372-5544
Practice Address - Fax:573-372-5466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)