Organization Active NPI

M & M Medical Transportation, Inc

  • Non-emergency Medical Transport (VAN)
  • Monroe, LA
National Provider Identifier
1174719645
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1930806 Issued in LA
Legal business name
M & M MEDICAL TRANSPORTATION, INC
Practice address
803 S 27TH St
Monroe, LA 71201-8039
Phone
(318) 323-5212
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Miss Annissa Eveque Payne
Title
Office Manager
Phone
(318) 680-6881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 1930806 LA Primary

Addresses

Primary practice location

803 S 27TH St
Monroe, LA 71201-8039

Mailing address

803 S 27TH St
Monroe, LA 71201-8039
Phone (318) 323-5212

Other identifiers 1

IdentifierTypeStateIssuer
1930806MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1174719645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S 27TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018039",
            "telephone_number": "318-323-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S 27TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018039",
            "telephone_number": "318-323-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M MEDICAL TRANSPORTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "ANNISSA",
        "authorized_official_middle_name": "EVEQUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-680-6881",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "1930806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1930806",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.