Provider Demographics
NPI:1881271443
Name:MERCY TRANSPORTATION GROUP LLC
Entity type:Organization
Organization Name:MERCY TRANSPORTATION GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-576-0215
Mailing Address - Street 1:186A MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BALTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06330-1349
Mailing Address - Country:US
Mailing Address - Phone:860-576-0215
Mailing Address - Fax:860-336-6131
Practice Address - Street 1:186A MAIN ST
Practice Address - Street 2:
Practice Address - City:BALTIC
Practice Address - State:CT
Practice Address - Zip Code:06330-1349
Practice Address - Country:US
Practice Address - Phone:860-576-0215
Practice Address - Fax:860-336-6131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-28
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)