Organization
AFFORDABLE MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA SUE REYES (OWNER)
(260) 609-2605
Entity
Organization
Contact information
Practice address
9026 ASHTON POINTE BLVD., FORT WAYNE, IN 46819-2542
(260) 609-2605
Mailing address
9026 ASHTON POINTE BLVD., FORT WAYNE, IN 46819-2542
(260) 609-2605
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
73881
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200998280A
—
IN
Enumeration date
12/17/2010
Last updated
12/22/2010
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