Healthcare Provider Details

I. General information

NPI: 1518891134
Provider Name (Legal Business Name): MIDNIGHT NON EMERGENCY MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86695 AVENUE 54 STE E
COACHELLA CA
92236-3810
US

IV. Provider business mailing address

490 SANCTUARY PARK DR
SUMMERVILLE SC
29486-2431
US

V. Phone/Fax

Practice location:
  • Phone: 442-458-0644
  • Fax:
Mailing address:
  • Phone: 442-458-0644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ALA A ALKHATEEB
Title or Position: MANAGER
Credential:
Phone: 442-458-0644