MR. CHARLIE ANDREW TACITO NPI 1215086731

NPI Information

NPI: 1215086731
Provider Name: MR. CHARLIE ANDREW TACITO
Classification: Ambulance - 3416L0300X
Entity Type: Individual

Specialization: Land Transport

Address:
1684 POPLAR AVE
MEMPHIS, TN
ZIP 38104
Phone: (901) 278-1616
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MR. Charlie Andrew Tacito is a land transport ambulance in Memphis, TN. MR. Charlie Andrew Tacito NPI is 1215086731. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1684 POPLAR AVE
MEMPHIS, TN
ZIP 38104
Phone: (901) 278-1616
Fax: (901) 278-0144

The enumeration date for this NPI number is 1/10/2007 and was last updated on 4/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	EMS0000010018	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3574503	MEDICARE PIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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