Georgia Medport Llc
LBN: Georgia Medport Llc
Georgia Medport Llc is an health care organization with primary practice located at 1002 Chestnut St Se Suite A, Gainesville GA 30501-6909. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Land Transport, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Land Transport is the primary health care specialty.
Georgia Medport Llc can be contacted via phone (770) 535-2601, or through Nix, Zachary Williams via phone (770) 535-2601.
Contact Information
Primary practice address
1002 Chestnut St Se Suite A
Gainesville GA 30501-6909
Phone: (770) 535-2601
Fax: (770) 535-2602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Land Transport | 3416L0300X | 069-19 | Georgia |
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X |
Profile Details
| NPI number | 1619118015 |
|---|---|
| LBN Legal business name | Georgia Medport Llc |
| DBA Doing business as | |
| Authorized official | Nix, Zachary Williams |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 13th, 2009 |
| Last updated | May 29th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619118015 | NPPES |
| Georgia | MEDICAID | 003108574A | |
| Georgia | Other | 202G593924 |
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