Healthcare Provider Details

I. General information

NPI: 1861134520
Provider Name (Legal Business Name): UNITED MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 28TH ST SE STE 107E
GRAND RAPIDS MI
49508-1399
US

IV. Provider business mailing address

950 28TH ST SE STE 107E
GRAND RAPIDS MI
49508-1399
US

V. Phone/Fax

Practice location:
  • Phone: 616-635-6538
  • Fax:
Mailing address:
  • Phone: 616-635-6538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. HASHIM M MURIDI
Title or Position: DIRECTOR
Credential:
Phone: 616-635-6538