Provider Demographics
NPI:1215704002
Name:MEDICGO TRANSPORTATION SERVICE LLC
Entity type:Organization
Organization Name:MEDICGO TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JARMON
Authorized Official - Middle Name:
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-600-1282
Mailing Address - Street 1:1901 POST OAK BLVD APT 1608
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3919
Mailing Address - Country:US
Mailing Address - Phone:832-600-1282
Mailing Address - Fax:
Practice Address - Street 1:1901 POST OAK BLVD APT 1608
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3919
Practice Address - Country:US
Practice Address - Phone:832-600-1282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No341600000XTransportation ServicesAmbulance