404 Transport, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

404 TRANSPORT, LLC

Practice address

1560B Commercial CT
Jonesboro, GA 30238-6500

Phone

(770) 875-4815

NPI assigned

Jan 19, 2019

Last updated

Jan 19, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Donnell

Title

Partner

Phone

(770) 875-4815

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547856000000",
    "number": "1043784325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560B COMMERCIAL CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560B COMMERCIAL CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386500",
            "telephone_number": "770-875-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "404 TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-01-19",
        "status": "A",
        "authorized_official_last_name": "DONNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-875-4815"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.