Puckett Med Van LLC
Organization Active NPI Non-emergency Medical Transport (VAN) · East Ridge, TN
NPI 1487080149 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1487080149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- PUCKETT MED VAN LLC
- Practice address
- 5603 Ringgold Road
East Ridge, TN 37412 - Phone
- (423) 894-4407
- Fax
- (770) 943-5150
- NPI assigned
- Sep 25, 2013
- Organization subpart
- No
Authorized official
- Name
- Robert A Jewell
- Title
- Chief Revenue Integration Officer
- Phone
- (844) 597-4911
National Provider Directory
Locations
5603 Ringgold Rd
East Ridge, TN 37412
Phone (423) 894-1800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
5603 Ringgold Road
East Ridge, TN 37412
Mailing address
3760 Tramore Pointe Pkwy
Austell, GA 30106
Phone (770) 222-5045
Other providers in East Ridge, TN
- Kenneth W Patric Jr.
- Bruce Allen Pendley
- Carlina Lopez Pendon
- Tessa K Poteralski
- Puckett Emergency Medical Services, LLC
- Emily Raycraft
- Katelyn Joan Renard
- Rhonda Lynn Renfro
- Byron L Reynolds
- Richelle Marie Richey
All providers in East Ridge, 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 9, 2023. 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.