MEDICARE: AMERICAN GENERAL TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1114638921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN GENERAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	2924 E THIRD ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45403-1902
Country	:	US
Telephone Number	:	937-771-1616
Fax Number	:

Provider Business Practice Location Address
First Line	:	2924 E 3RD ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45403-2155
Country	:	US
Telephone Number	:	937-771-1616
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	YOUSIF AHMED
Credential	:
Telephone Number	:	937-771-1616

Provider Enumeration Date	:	12/13/2022
Last Update Date	:	06/26/2023

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Directions to “AMERICAN GENERAL TRANSPORTATION ” Practice Location

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