Healthcare Provider Details

I. General information

NPI: 1033520176
Provider Name (Legal Business Name): GLOBAL MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 05/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24130 TELEGRAPH RD
SOUTHFIELD MI
48033-3020
US

IV. Provider business mailing address

24130 TELEGRAPH RD
SOUTHFIELD MI
48033-3020
US

V. Phone/Fax

Practice location:
  • Phone: 248-469-4673
  • Fax: 248-223-0894
Mailing address:
  • Phone: 248-469-4673
  • Fax: 248-223-0894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. CHIRINE GHANDOUR
Title or Position: PRESIDENT
Credential:
Phone: 248-469-4673