Provider Demographics
NPI:1528531357
Name:FREEDOM MEDICAL TRAVELERS, LLC
Entity type:Organization
Organization Name:FREEDOM MEDICAL TRAVELERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:YOYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-769-8472
Mailing Address - Street 1:3505 NE 94TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64156-8905
Mailing Address - Country:US
Mailing Address - Phone:816-769-8472
Mailing Address - Fax:
Practice Address - Street 1:3505 NE 94TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64156-8905
Practice Address - Country:US
Practice Address - Phone:816-769-8472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)