Organization
MEDPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER W TURNER (PRESIDENT)
(931) 455-3515
Entity
Organization
Contact information
Practice address
990 E DECHERD ST, TULLAHOMA, TN 37388-3916
(931) 455-3515
(931) 455-4980
Mailing address
990 E DECHERD ST, TULLAHOMA, TN 37388-3916
(931) 455-3515
(931) 455-4980
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0007436
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4091535
TENNCARE
TN
05
—
T000152
—
TN
Enumeration date
10/02/2006
Last updated
09/26/2009
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