Healthcare Provider Details

I. General information

NPI: 1417878919
Provider Name (Legal Business Name): VITAL TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2809 E HAMILTON AVE # 139
EAU CLAIRE WI
54701-6863
US

IV. Provider business mailing address

2809 E HAMILTON AVE # 139
EAU CLAIRE WI
54701-6863
US

V. Phone/Fax

Practice location:
  • Phone: 715-883-0050
  • Fax: 715-883-0051
Mailing address:
  • Phone: 715-883-0050
  • Fax: 715-883-0051

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: MOHAMED MOHAMED
Title or Position: OWNER
Credential:
Phone: 608-770-8385