Healthcare Provider Details

I. General information

NPI: 1487955415
Provider Name (Legal Business Name): HEALTH CARE TRANSPORTATION SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2010
Last Update Date: 04/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6826 BINGHAM ST SUITE # 1
PHILADELPHIA PA
19111-4335
US

IV. Provider business mailing address

6826 BINGHAM ST SUIT # 1
PHILADELPHIA PA
19111-4335
US

V. Phone/Fax

Practice location:
  • Phone: 804-874-2736
  • Fax: 267-686-6669
Mailing address:
  • Phone: 804-874-2736
  • Fax: 267-686-6669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: IBRAHIM IDRIS MOHMED
Title or Position: PRESIDENT
Credential:
Phone: 804-874-2736