Med Group Transportation Llc

LBN: Med Group Transportation Llc
Med Group Transportation Llc is an health care organization with primary practice located at 11412 N Port Washington Rd Ste 215 , Mequon WI 53092-3450. The organization recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as the primary health care specialty. Med Group Transportation Llc can be contacted via phone (414) 755-0500, or through Mekvabishvili, Dariko via phone (414) 755-0500.

Contact Information

Primary practice address
11412 N Port Washington Rd Ste 215 Mequon WI 53092-3450
Phone: (414) 755-0500
Fax: (414) 755-1763
Website:
Map and Directions
Authorized official contact:
Name: Mekvabishvili, Dariko
Phone: (414) 755-0500

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 376ZYF Wisconsin

Profile Details

NPI number 1184866253
LBN Legal business name Med Group Transportation Llc
DBA Doing business as
Authorized official Mekvabishvili, Dariko
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2009
Last updated Apr 3rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184866253 NPPES
Wisconsin MEDICAID 100002648

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