# MEDICTRAN SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICTRAN SERVICES LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316404106
- **Authorized official:** JULIANA MARTIN PETRO C.E.O (C.E.O)
- **Authorized official phone:** (316) 650-9072

## Contact information

- **Practice address:** 7323 E 31ST CT N, WICHITA, KS 67226-2212
- **Practice address phone:** (316) 650-9072
- **Practice address fax:** (316) 337-5873
- **Mailing address:** 7323 E 31ST CT N, WICHITA, KS 67226-2212
- **Mailing address phone:** (316) 650-9072
- **Mailing address fax:** (316) 337-5873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2019
- **Last updated:** 02/27/2019