Organization
MEDICAL TRANSPORTATION SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RYAN WEBB (MEMBER)
(901) 440-6219
Entity
Organization
Contact information
Practice address
2502 MOUNT MORIAH RD STE A120, MEMPHIS, TN 38115-7501
(901) 440-6219
(901) 507-8298
Mailing address
PO BOX 381047, GERMANTOWN, TN 38183-1047
(901) 440-6219
(901) 507-8298
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EMS0000010255
STATE LICENSE
TN
Enumeration date
02/22/2019
Last updated
02/09/2024
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