Organization
ZOOM TRANSPORT SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KENNEDY JR. (OWNER/OPERATOR)
(317) 710-3219
Entity
Organization
Contact information
Practice address
1425 CARROLLTON AVE, INDIANAPOLIS, IN 46202-2714
(317) 710-3219
Mailing address
1425 CARROLLTON AVE, INDIANAPOLIS, IN 46202-2714
(317) 710-3219
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IN
347E00000X
Transportation Broker
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172A
—
IN
05
—
3439
—
IN
05
—
347E
—
IN
Enumeration date
03/12/2009
Last updated
03/12/2009
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