Healthcare Provider Details
I. General information
NPI: 1750542734
Provider Name (Legal Business Name): GLOBAL TRAN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2008
Last Update Date: 06/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
40 CEDAR WALK UNIT 2320
LONG BEACH CA
90802-7925
US
IV. Provider business mailing address
8023 YORK BEACH PL
ARLINGTON TX
76002-3782
US
V. Phone/Fax
- Phone: 515-708-4748
- Fax:
- Phone: 515-708-4748
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | HTT303 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | 5KSA064 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | 5BWG713 |
| License Number State | CA |
VIII. Authorized Official
Name:
IBRAHIM
ALI
Title or Position: GENERAL MANAGER
Credential:
Phone: 515-708-4748