Active NPI
M & M Medical Transportation, Inc
- Non-emergency Medical Transport (VAN)
- Monroe, LA
National Provider Identifier
1174719645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 1930806
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1930806 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI 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.