Medport, Inc.
Non-emergency Medical Transport (VAN) in Tullahoma, TN(View on Map)
Legal Business Name
Medport, Inc.
NPI Number
1922191683
NPI Type
Organization
Enumeration Date
10/02/2006
Specialties
(Taxonomies)Licenses
State
Tennessee
License Number
0007436
Contact
Information
Purpose
Mailing
Location
Address
990 E DECHERD ST
990 E DECHERD ST
City
Tullahoma
Tullahoma
State
TN
TN
Postal Code
37388-3916
37388-3916
Country
US
US
Telephone Number
(931) 455-3515
(931) 455-3515
Authorized Official
Name
Mr. Christopher Turner
Title or Position
PRESIDENT
Telephone Number
(931) 455-3515
Identifiers
Identifier
4091535
T000152
Identifier State
TN
TN
Identifier Issuer
TENNCARE
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/26/2009
Provider Address
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