Provider Demographics
NPI:1225865835
Name:MCCUIEN TRANSPORTATION MANAGEMENT & MARKETING GROUP CORP
Entity type:Organization
Organization Name:MCCUIEN TRANSPORTATION MANAGEMENT & MARKETING GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONNY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCUIEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:501-647-2570
Mailing Address - Street 1:1818 N TAYLOR ST # 109
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-4639
Mailing Address - Country:US
Mailing Address - Phone:501-352-1778
Mailing Address - Fax:
Practice Address - Street 1:1818 N TAYLOR ST # 109
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-4639
Practice Address - Country:US
Practice Address - Phone:501-352-1778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251S00000XAgenciesCommunity/Behavioral Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No342000000XTransportation ServicesTransportation Network Company