Healthcare Provider Details

I. General information

NPI: 1497662209
Provider Name (Legal Business Name): HAMAI MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1156 DEVILS GLEN RD APT 211
BETTENDORF IA
52722-4551
US

IV. Provider business mailing address

1156 DEVILS GLEN RD APT 211
BETTENDORF IA
52722-4551
US

V. Phone/Fax

Practice location:
  • Phone: 224-669-0801
  • Fax:
Mailing address:
  • Phone: 224-669-0801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: DR. MUBARK B JEDH
Title or Position: OWNER AND CEO
Credential: CEO
Phone: 224-669-0801