Organization
SOUTHWEST TRANSPORTATION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMM TATUM (OWNER)
(269) 823-4320
Entity
Organization
Contact information
Practice address
4231 FREDERICK LN, PORTAGE, MI 49002-2021
(269) 823-4320
Mailing address
4231 FREDERICK LN, PORTAGE, MI 49002-2021
(269) 823-4320
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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