Organization
M1 MED CAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON BRADLEY MASON SR. (MEDICAL TRANSPORTATION SERVICE)
(618) 509-3427
Entity
Organization
Contact information
Practice address
137 SAINT ROBERT DR, CAHOKIA, IL 62206-1840
(618) 509-3427
Mailing address
137 SAINT ROBERT DR, CAHOKIA, IL 62206-1840
(618) 509-3427
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
M250-5426-8284
IL
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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