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Organization

MVP TRANSPORTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KESU BROWN (VICE PRESIDENT)
(618) 623-4422
Entity
Organization

Contact information

Practice address
1229 N 17TH STREET, NUMBER 23, BELLEVILLE, IL 62226
(618) 623-4422
(888) 672-2818
Mailing address
1229 N 17TH STREET, NUMBER 23, BELLEVILLE, IL 62226
(618) 623-4422
(888) 672-2818

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
343900000X
IL
Enumeration date
12/04/2015
Last updated
12/04/2015
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