Tri-Cities Transportation

Primary specialty

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

Legal business name

TRI-CITIES TRANSPORTATION

Doing business as

Brady A Lewis d/b/a Tri-Cities Transportation

Practice address

804 Hillmoor Dr
Johnson City, TN 37601-2106

Phone

(423) 791-4658

Fax

(423) 926-0362

NPI assigned

Mar 14, 2007

Last updated

Jul 25, 2008By 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

Mr. Brady A Lewis

Title

Owner

Phone

(423) 791-4658

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Brady A Lewis d/b/a Tri-Cities Transportation Doing business as

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1750414025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 HILLMOOR DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012106",
            "telephone_number": "423-791-4658",
            "fax_number": "423-926-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HILLMOOR DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012106",
            "telephone_number": "423-791-4658",
            "fax_number": "423-926-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-791-4658",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T000157",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "100043616",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE",
            "identifier": "4065730",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brady A Lewis d/b/a Tri-Cities Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.