Organization Name: | AVE MARIA REGINA HEALTH SYSTEMS |
NPI Number: | 1881028298 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IFEYINWA AGHOLOR (PROJECT MANAGER / PRESIDENT) |
Mailing Address: | 4008 Pepperwood Dr Antioch |
State: | TN US |
Postal Code: | 370131667 |
Phone Number: | 6155308111 |
Fax Number: | 6152802538 |
NPI Enumeration Date: | 08/22/2013 |
NPI Last Update Date: | 04/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | 1000000012695 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |