MIA WALLACE


Address: 9165 Otis Ave Ste 232, Indianapolis, IN 46216-2317
Phone: 3175608522

MIA WALLACE (NPI# 1972125078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972125078
Entity Type Individual
Full Name MIA WALLACE
Practice Address 9165 Otis Ave Ste 232
Indianapolis
IN 46216-2317
Practice Telephone 3175608522
Mailing Telephone 3175608522
Enumeration Date 2020-05-12
Last Update Date 2020-05-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 343900000X Non-emergency Medical Transport (VAN) Transportation Services

Office Location

Street Address 9165 OTIS AVE STE 232
City INDIANAPOLIS
State IN
Zip Code 46216-2317

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1548779663 Fresenius Medical Care Indiana, LLC Clinic/Center 9140 Harrison Park Ct, Indianapolis, IN 46216 2017-09-20
1184835852 Toby A Zirkle Family Medicine 8205 E 56th St Ste 100, Indianapolis, IN 46216 2007-05-24
1922178995 Physiotherapy Associates Physical Therapist 5665 North Post Rd. Suite 100, Indianapolis, IN 46216 2006-11-08
1871562645 Richard Clark Perry Internal Medicine 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 2006-03-15
1902420532 Carole Christine Corder Dietitian, Registered 8205 E 56th St, Suite 100, Indianapolis, IN 46216 2020-05-29
1821301300 Robin Girdhar Internal Medicine 8205 E 56th St, Ste 100, Indianapolis, IN 46216 2010-07-26
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Taxonomy Information

Taxonomy Code 343900000X
Grouping Transportation Services
Classification Non-emergency Medical Transport (VAN)

Taxonomy Definition

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568062511 Indy Medical Trans LLC Non-emergency Medical Transport (VAN) 4948 W Washington St, Indianapolis, IN 46241 2020-10-29
1841897378 Spotlight Transportation Non-emergency Medical Transport (VAN) 2804 55th Pl Ste E, Indianapolis, IN 46220-3546 2020-10-07
1972117638 Reliable Healthcare Professionals LLC Non-emergency Medical Transport (VAN) 450 E 96th St Ste 5024, Indianapolis, IN 46240-5703 2020-09-01
1871140764 Larmar D Cox Non-emergency Medical Transport (VAN) 7929 Crestway Dr Apt 807, Indianapolis, IN 46236-7923 2019-08-24
1427617927 Ralans LLC Non-emergency Medical Transport (VAN) 4920 N High School Rd, Indianapolis, IN 46254-1819 2019-06-07
1760045801 Bidets Care LLC Non-emergency Medical Transport (VAN) 4215 W 86th St Ste F6703, Indianapolis, IN 46268-5737 2019-04-15
1881257012 Habr LLC Non-emergency Medical Transport (VAN) 2936 E Washington St Apt 11, Indianapolis, IN 46201-4294 2019-04-14
1659838050 Shakila Germany Non-emergency Medical Transport (VAN) 8130 E 37th Pl, Indianapolis, IN 46226-5950 2019-02-22
1407312408 Glenn Murray Non-emergency Medical Transport (VAN) 10457 Split Rock Way, Indianapolis, IN 46234-3636 2019-02-14
1508330622 Ride Away Transportation LLC Non-emergency Medical Transport (VAN) 6220 Meadowlark Dr, Indianapolis, IN 46226-3615 2019-01-12
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Competitor

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City INDIANAPOLIS
Zip Code 46216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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