Provider Demographics
NPI:1487342614
Name:ACE NON-EMERGENCY MEDICAL TRANPORT
Entity type:Organization
Organization Name:ACE NON-EMERGENCY MEDICAL TRANPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALECIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-980-2657
Mailing Address - Street 1:1960 MADISON ST STE J
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-8039
Mailing Address - Country:US
Mailing Address - Phone:931-980-2657
Mailing Address - Fax:
Practice Address - Street 1:131 DEAN DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3981
Practice Address - Country:US
Practice Address - Phone:931-980-2657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)