Provider Demographics
NPI:1962265025
Name:EXPRESS NEMT LLC
Entity type:Organization
Organization Name:EXPRESS NEMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:HECKER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:865-806-4175
Mailing Address - Street 1:627C S JAMES M CAMPBELL BLVD # 390
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4392
Mailing Address - Country:US
Mailing Address - Phone:865-806-4175
Mailing Address - Fax:
Practice Address - Street 1:627C S JAMES M CAMPBELL BLVD # 390
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4392
Practice Address - Country:US
Practice Address - Phone:865-806-4175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company