Organization
NORTHEAST MEDICAL TRANSIT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY TENNANT (ADMINISTRATOR)
(318) 387-4878
Entity
Organization
Contact information
Practice address
2101 TOWER DR, MONROE, LA 71201-5045
(318) 387-4878
(318) 387-1317
Mailing address
PO BOX 2141, MONROE, LA 71207-2141
(318) 387-4878
(318) 387-1317
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
NNP858
LA
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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