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NPI Code Detail

MEDICARE: HALLA TRANSPORTATION

MEDICARE: HALLA TRANSPORTATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003570458
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALLA TRANSPORTATION
Provider Business Mailing Address
First Line : 1421 W BIRDSONG DR APT B13
Second Line :
City : OAK CREEK
State : WI
Zip : 53154-8432
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1421 W BIRDSONG DR APT B13
Second Line :
City : OAK CREEK
State : WI
Zip : 53154-8432
Country : US
Telephone Number : 414-553-0745
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SHAMSO NUR
Credential :
Telephone Number : 414-553-0745
Provider Enumeration Date : 10/22/2021
Last Update Date : 10/22/2021

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Directions to “HALLA TRANSPORTATION ” Practice Location

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