1962793919 NPI number — PERSONAL TOUCH MEDICAL TRANSPORTATION, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962793919 NPI number — PERSONAL TOUCH MEDICAL TRANSPORTATION, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PERSONAL TOUCH MEDICAL TRANSPORTATION, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962793919
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6319 YEARLING RUN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46278-2701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-319-0993
Provider Business Mailing Address Fax Number:
317-328-8993

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6319 YEARLING RUN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46278-2701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-319-0993
Provider Business Practice Location Address Fax Number:
317-328-8993
Provider Enumeration Date:
04/26/2011

Additional Information

Authorized Official

Authorized Official Last Name:
CONNER-BATES
Authorized Official First Name:
JEANNA
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
317-319-0993

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , with the licence number:  1318045 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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