Organization
MISSOURI MEDICAL TRANSPORTATION
Active
Other names
Mary Brown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN LEE LANGE (CONTROLLER/MANAGER)
(573) 560-0072
Entity
Organization
Contact information
Practice address
2306 S CAROLINA ST, LOUISIANA, MO 63353-2633
(573) 560-0072
(888) 202-7691
Mailing address
2306 S CAROLINA ST, LOUISIANA, MO 63353-2633
(573) 560-0072
(888) 202-7691
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/21/2010
Last updated
08/21/2010
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