MEDIC TRANSPORTATION, LLC. (NPI# 1912074030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912074030 |
| Entity Type | Organization |
| Organization Name | MEDIC TRANSPORTATION, LLC. |
| Practice Address |
3180 Millington Rd. Memphis TN 38127 |
| Practice Telephone | 9013624171 |
| Practice Fax Number | 9013624172 |
| Mailing Telephone | 9013624171 |
| Mailing Fax Number | 9013624172 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | HENRY G WYNN (PRESIDENT / CEO) |
| Authorized Official Telephone | 9015501940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
EMS0000010035 | TN | Transportation Services |
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | T000215 | 05 | |
| TN | T000197 | 05 |
| Street Address |
3180 MILLINGTON RD. |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
| 1891060570 | Phylantyniese Lashunda Stone | Non-emergency Medical Transport (VAN) | 2790 N. Watkins, Memphis, TN 38127 | 2012-03-14 |
| 1982916326 | Linda Faye Johnson | Pharmacist | 2655 Frayser Blvd., Memphis, TN 38127 | 2010-07-13 |
| 1215171046 | M.g. Services, LLC | Home Health | 3065 Thomas St., Memphis, TN 38127 | 2009-04-23 |
| 1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
| 1467621334 | Cet of Memphis, LLC | Community/Behavioral Health | 2470 Capewood Dr, Memphis, TN 38127 | 2008-02-26 |
| 1609974450 | Walgreen Co. | Pharmacy | 3100 Thomas St., Memphis, TN 38127 | 2006-09-20 |
| 1871541177 | Clarice Weathers Mullinax | Family Medicine | 3124 North Thomas Street, Christ Community Health Services Inc, Memphis, TN 38127 | 2006-05-05 |
| 1295251619 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2670 Frayser Blvd, Memphis, TN 38127 | 2017-08-17 |
| 1285159830 | Leigh Scotten Tatum | Social Worker | 2574 Frayser Blvd, Memphis, TN 38127 | 2017-08-04 |
| Find all providers in zip 38127 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021010 | Trinika Michelle Meredith | Non-emergency Medical Transport (VAN) | 4225 Ambrose Rd, Memphis, TN 38116-6772 | 2020-10-21 |
| 1215536172 | Community Rescue Medical Trans, LLC | Non-emergency Medical Transport (VAN) | 3340 Poplar Ave Ste 133, Memphis, TN 38111-4638 | 2020-10-21 |
| 1427662790 | Reliable Transports LLC | Non-emergency Medical Transport (VAN) | 3078 S Glengarry Rd, Memphis, TN 38128-5138 | 2020-09-03 |
| 1972117604 | Lacey Runit, Inc | Non-emergency Medical Transport (VAN) | 3759 Lakeview Rd, Memphis, TN 38116-3919 | 2020-09-01 |
| 1932713617 | Dung Nguyen | Non-emergency Medical Transport (VAN) | 601 S Mendenhall Rd, Memphis, TN 38117-4252 | 2020-09-01 |
| 1679181531 | Needy Transport | Non-emergency Medical Transport (VAN) | 1486 Catalina Rd, Memphis, TN 38111-5314 | 2020-07-16 |
| 1578187639 | Prestigious Transportation, LLC | Non-emergency Medical Transport (VAN) | 3845 Viscount Ave Ste 308, Memphis, TN 38118-6024 | 2020-06-04 |
| 1851913743 | Loranzo Andra Andrews | Non-emergency Medical Transport (VAN) | 4796 Lakeridge Dr, Memphis, TN 38109-6172 | 2020-05-13 |
| 1073149043 | Moore's Transportation, LLC | Non-emergency Medical Transport (VAN) | 2615 Wayne Pl, Memphis, TN 38133-8508 | 2020-03-21 |
| 1023654076 | Shampaon K Hewitt | Non-emergency Medical Transport (VAN) | 2074 Worthington Cir, Memphis, TN 38114-3003 | 2019-11-25 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.