Organization
IMPACT TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREMMAN LEE CROWDER IV (OWNER)
(931) 823-4440
Entity
Organization
Contact information
Practice address
5490 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2250
(931) 823-4440
Mailing address
5490 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2250
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
TN
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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