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
1	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID 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

Similar Medicare Providers

1942632633 — MAGDOUCHE MEDICAL LLC
Practice Location Address:

2739 STONE CREEK DR
SHREVEPORT, LA
71106-8432

Practice Phone: 318-797-1743
Practice Fax: 318-797-7599

1760278014 — ASHLEY CAROLINE MANNING BOONE
Practice Location Address:

2731 STONE CREEK DR
SHREVEPORT, LA
71106-8432

Practice Phone: 318-272-8294
Practice Fax:

1588507339 — MELODY LEWIS
Practice Location Address:

2603 W RAWSON AVE STE 132
OAK CREEK, WI
53154-8422

Practice Phone: 888-754-0398
Practice Fax:

1649114471 — ERICA ORTIZ
Practice Location Address:

1033 W BUCKINGHAM DR
OAK CREEK, WI
53154-5562

Practice Phone: 414-324-1986
Practice Fax:

1366054140 — KEVIN MORTON PT, DPT
Practice Location Address:

2333 W RYAN RD
OAK CREEK, WI
53154-4322

Practice Phone: 414-973-1550
Practice Fax:

1437848801 — JENNA PETERSON
Practice Location Address:

DREXEL TOWN SQUARE HEALTH CENTER 7901 S. 6TH ST
OAK CREEK, WI
53154-2010

Practice Phone: 414-346-8350
Practice Fax:

Directions to “HALLA TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.