Organization
NMS MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LARRY GILLILAND (OWNER)
(517) 768-9760
Entity
Organization
Contact information
Practice address
2618 WILDWOOD AVE, JACKSON, MI 49202-3931
(517) 768-0248
(517) 768-9760
Mailing address
2618 WILDWOOD AVE, JACKSON, MI 49202-3931
(517) 768-0248
(517) 768-9760
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L2698
MI
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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