Healthcare Provider Details

I. General information

NPI: 1548547250
Provider Name (Legal Business Name): ALL-BRIGHT TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2011
Last Update Date: 07/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 N HARVARD AVE
OKLAHOMA CITY OK
73127-4028
US

IV. Provider business mailing address

PO BOX 76213
OKLAHOMA CITY OK
73147-2213
US

V. Phone/Fax

Practice location:
  • Phone: 405-370-2039
  • Fax:
Mailing address:
  • Phone: 405-265-8201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANIEFIOK ERIC UMOH
Title or Position: OWNER
Credential:
Phone: 405-265-8201