Provider Demographics
NPI:1922252212
Name:NATIONAL MEDICAL TRANSPORTATION PROVIDER
Entity Type:Organization
Organization Name:NATIONAL MEDICAL TRANSPORTATION PROVIDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:901-482-7750
Mailing Address - Street 1:1783 LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38114-1739
Mailing Address - Country:US
Mailing Address - Phone:901-725-5400
Mailing Address - Fax:901-725-5400
Practice Address - Street 1:1783 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38114-1739
Practice Address - Country:US
Practice Address - Phone:901-725-5400
Practice Address - Fax:901-725-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)