Provider Demographics
NPI:1982108379
Name:H&M MEDICAL TRANSPORTATION SERVICES LLP
Entity Type:Organization
Organization Name:H&M MEDICAL TRANSPORTATION SERVICES LLP
Other - Org Name:H&M MEDICAL TRANSPORTATION SERVICES LLP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:HERMAN
Authorized Official - Last Name:PETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-562-0649
Mailing Address - Street 1:1324 ROSETTA ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70607-1932
Mailing Address - Country:US
Mailing Address - Phone:337-912-8617
Mailing Address - Fax:
Practice Address - Street 1:1324 ROSETTA ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-1932
Practice Address - Country:US
Practice Address - Phone:337-912-8617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA008907424343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========Medicaid