Organization
MEDICAL TRANSPORTATION MANAGEMENT, INC.
Active
Other names
Primary NPI
Organization subpart
No
Provider details
NPI number
Authorized official
ALAINA MACIA (PRESIDENT AND CEO)
(636) 561-5686
Entity
Organization
Contact information
Practice address
16 HAWK RIDGE CIR, LAKE ST LOUIS, MO 63367-1861
(636) 561-5686
(636) 561-2962
Mailing address
16 HAWKRIDGE DR, LAKE ST LOUIS, MO 63367-1829
(636) 561-5686
(636) 561-2962
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
Primary
8546495000
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026791901
—
NE
05
—
1014658730002
—
PA
05
—
1134260078
—
MN
05
—
1134260078
—
MO
05
—
1134260078
—
NC
05
—
1134260078
—
NV
05
—
1134260078
—
RI
05
—
117509
—
IA
05
—
14218400-8
—
FL
05
—
14218401-6
—
FL
05
—
14218402-5
—
FL
05
—
14218403-3
—
FL
05
—
14218404-4
—
FL
05
—
14218405-7
—
FL
05
—
230483715
—
AR
05
—
2441909
—
NY
05
—
3123776
—
NH
05
—
335021701-9
—
TX
05
—
335022501-5
—
TX
05
—
500771054
—
OR
05
—
7034248
—
MS
05
—
8390569
—
MI
Enumeration date
02/12/2007
Last updated
01/31/2024
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