Healthcare Provider Details

I. General information

NPI: 1528972403
Provider Name (Legal Business Name): HAZWAY MEDICAL TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 ALLANDALE DR
COLDWATER MI
49036-1010
US

IV. Provider business mailing address

35 ALLANDALE DR
COLDWATER MI
49036-1010
US

V. Phone/Fax

Practice location:
  • Phone: 517-317-0138
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HASHED ABDULLAH
Title or Position: OWNER
Credential:
Phone: 517-317-0138