MEDIVAN TRANSPORT, LLC (NPI# 1972863181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972863181 |
| Entity Type | Organization |
| Organization Name | MEDIVAN TRANSPORT, LLC |
| Practice Address |
234 N Victory Dr Lyons GA 30436-1036 |
| Mailing Address |
Po Box 2 Uvalda GA 30473-0002 |
| Practice Telephone | 9125260859 |
| Mailing Telephone | 9125260859 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |
| Authorized Official Name | MRS. PAULA D COPELAND (MANAGER) |
| Authorized Official Telephone | 9125260859 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
234 N VICTORY DR |
| City | LYONS |
| State | GA |
| Zip Code | 30436-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003172388 | Nurses Plus, Inc | Clinic/Center | 262 Johnson Corner Rd, Lyons, GA 30436 | 2012-04-11 |
| 1073818969 | Accuquest Hearing Center | Hearing Aid Equipment | 115 Oxley Drive, Lyons, GA 30436 | 2011-01-24 |
| 1750374336 | Catherine W Reavis | Nurse Practitioner | 110 R T Stanley Sr Pl, Lyons, GA 30436 | 2005-08-29 |
| 1033262829 | Kathleen R Dunham-bridges | Nurse Practitioner | 110 R T Stanley Sr Place, Lyons, GA 30436 | 2007-01-18 |
| 1629009501 | Susan F Mclendon | Registered Nurse | 110 R T Stanley Sr Pl, Lyons, GA 30436 | 2006-07-06 |
| 1457344046 | Brandy W Sikes | Physician Assistant | 110 R T Stanley Sr Pl, Lyons, GA 30436 | 2005-08-30 |
| 1881625457 | Hazel E Mead | Registered Nurse | 714 Nw Broad Street, Lyons, GA 30436-0008 | 2006-07-05 |
| 1649202607 | Toombs County Board of Health | Public Health or Welfare | 714 Nw Broad Street, Lyons, GA 30436-0008 | 2006-07-07 |
| 1831112879 | Toombs County Wellness Center | Public Health or Welfare | 714 Nw Broad Street, Lyons, GA 30436-0308 | 2006-07-25 |
| 1548345036 | Donald J Payne Dmd PC | Dentist | 668 Nw Broad St, Lyons, GA 30436-0899 | 2006-10-25 |
| Find all providers in zip 30436 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225420318 | Boulder Creek Transportation, Inc. | Non-emergency Medical Transport (VAN) | 103 Eagle Canyon Circle, Lyons, CO 80540 | 2015-02-26 |
| 1043355191 | Rice County Council On Aging | Non-emergency Medical Transport (VAN) | 117 West Ave S, Lyons, KS 67554-2723 | 2007-02-20 |
| 1659718229 | V.a. Transportation Network Foundation | Non-emergency Medical Transport (VAN) | 151 Knollcroft Rd, Bldg. 8; Suite 131; Attn: Transportation-vts, Lyons, NJ 07939-5001 | 2013-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113668 | Sherita Patricia Green | Non-emergency Medical Transport (VAN) | 397 Brady Road, Americus, GA 31709 | 2020-10-31 |
| 1114525144 | Trinity Nemt LLC | Non-emergency Medical Transport (VAN) | 1546 Scott Rd, Eastanollee, GA 30538-3374 | 2020-10-12 |
| 1487252623 | Mr. Teague & Associates LLC | Non-emergency Medical Transport (VAN) | 4426 Central Church Rd, Douglasville, GA 30135-2762 | 2020-10-10 |
| 1306443775 | Hrj Essentials, LLC | Non-emergency Medical Transport (VAN) | 2690 Cobb Pkwy Se Ste A5-598, Smyrna, GA 30080-3001 | 2020-10-07 |
| 1801401955 | Dexter T Myrick | Non-emergency Medical Transport (VAN) | 158 Hopewell Church Rd Nw, Milledgeville, GA 31061-9743 | 2020-09-14 |
| 1417562190 | Alpine Transportation | Non-emergency Medical Transport (VAN) | 3009 Rainbow Dr Ste 139i, Decatur, GA 30034-1879 | 2020-09-10 |
| 1316551963 | Rsvp Assured Trans, LLC. | Non-emergency Medical Transport (VAN) | 1000 Shadix Industrial Way, Douglasville, GA 30134-3956 | 2020-09-01 |
| 1982227914 | Naquita Dobbs | Non-emergency Medical Transport (VAN) | 7875 Waterwheel Way, Jonesboro, GA 30238-4125 | 2020-05-26 |
| 1104448950 | Latarsha Moneek White | Non-emergency Medical Transport (VAN) | 3611 Cromwell Dr, Hephzibah, GA 30815-6210 | 2020-05-15 |
| 1477175495 | Cpt Services LLC | Non-emergency Medical Transport (VAN) | 5628 Rice Ct, Ellenwood, GA 30294-3879 | 2020-05-13 |
| Find all providers with the same taxonomy | ||||
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| 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.