MEDTRAN EXPRESS; NPI #1013246461

Contact Information

MEDTRAN EXPRESS

115 EXCECUTIVE PARK
LAKE CITY, SC 29560

Phone: 757-615-9012
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for MEDTRAN EXPRESS

NPI Number	`1013246461`
LBN Legal business name	MEDTRAN EXPRESS
Authorized official	SHAFARA DOZIER - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/14/2009
Last updated	03/14/2013 - About 13 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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