Provider Demographics
NPI:1437035698
Name:NOAH-MED TRANSPORT
Entity type:Organization
Organization Name:NOAH-MED TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BREKTI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIJAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-794-9449
Mailing Address - Street 1:2560 PLYMOUTH RD APT 519
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-8929
Mailing Address - Country:US
Mailing Address - Phone:423-794-9449
Mailing Address - Fax:
Practice Address - Street 1:2560 PLYMOUTH RD APT 519
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-8929
Practice Address - Country:US
Practice Address - Phone:423-794-9449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)