Healthcare Provider Details

I. General information

NPI: 1376774224
Provider Name (Legal Business Name): VELOCITY MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 07/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 GOODYEAR DR
ALAMOGORDO NM
88310-9738
US

IV. Provider business mailing address

777 W CHANDLER BLVD 2385
CHANDLER AZ
85225-2506
US

V. Phone/Fax

Practice location:
  • Phone: 480-516-8522
  • Fax:
Mailing address:
  • Phone: 480-516-8522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. SULIMAN AHMED SULIMAN
Title or Position: OWNER
Credential:
Phone: 480-516-8522