Organization
ADVANCE MEDICAL TRANSPORTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES L. HILTON (PRESIDENT)
(314) 495-6412
Entity
Organization
Contact information
Practice address
3312 BROWN RD, SAINT LOUIS, MO 63114-4328
(314) 567-0073
(314) 567-1940
Mailing address
3312 BROWN RD, SAINT LOUIS, MO 63114-4328
(314) 567-0073
(314) 567-1940
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
343900000X
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01362606
—
MO
Enumeration date
11/01/2016
Last updated
11/01/2016
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