Ag Transportation

Primary specialty

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

Legal business name

AG TRANSPORTATION

Practice address

4801 Sandyrock LN
Antioch, TN 37013-3860

Phone

(469) 334-1741

NPI assigned

Mar 4, 2024

Last updated

Mar 21, 2024By 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. Abel Assefa Abebe, BSC

Title

Owenr

Phone

(469) 334-1741

Specialties & licenses 1

Addresses

Other names 1

• Ag transportation service Former legal business name

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1831956085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 SANDYROCK LN",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133860",
            "telephone_number": "469-334-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SANDYROCK LN",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133860",
            "telephone_number": "469-334-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "ABEBE",
        "authorized_official_first_name": "ABEL",
        "authorized_official_middle_name": "ASSEFA",
        "authorized_official_title_or_position": "OWENR",
        "authorized_official_telephone_number": "469-334-1741",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSC"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ag transportation service",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ag transportation service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.