Blue Odyssey Transportation
Organization Active NPI Non-emergency Medical Transport (VAN) · Millington, TN
NPI 1255562153 · NPPES record last updated Aug 8, 2009
Key facts
- NPI
- 1255562153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- License
- 097843376 (TN)
- Legal business name
- BLUE ODYSSEY TRANSPORTATION
- Practice address
- 7634 Kiowa St
Apt. 1
Millington, TN 38053-3212 - Phone
- (901) 219-4193
- NPI assigned
- Jul 27, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Anthony Terrell Waddell, EMT-IV
- Title
- Partner
- Phone
- (901) 219-4193
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 097843376 | TN | Yes |
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
7634 Kiowa St
Apt. 1
Millington, TN 38053-3212
Mailing address
7634 Kiowa St
Apt. 1
Millington, TN 38053-3212
Other providers in Millington, TN
- Whitney Beall
- Jacob Allen Beaty
- Bio-Medical Applications of Tennessee, Inc.
- Cheryl A Bird
- Janet Alicia Black
- Boatwright Drug Co., Inc
- Boatwright Drug Co., Inc
- Steven L Boatwright
- Bolland Dental PLLC
- Ramona Boswell
All providers in Millington, TN · Non-emergency Medical Transport (VAN) in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.