Organization
PROVISION TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LYLE FEEBACK (OWNER/OPERATOR)
(620) 212-1624
Entity
Organization
Contact information
Practice address
21081 W 224TH ST, SPRING HILL, KS 66083-7562
(620) 212-5082
Mailing address
21081 W 224TH ST, SPRING HILL, KS 66083-7562
(620) 212-5082
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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