MEDICARE: NEMT NH

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	172A00000X	Driver
2	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1083242838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEMT NH

Provider Business Mailing Address
First Line	:	17 LONG AVE
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03064-1318
Country	:	US
Telephone Number	:	603-486-1581
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 LONG AVE
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03064-1318
Country	:	US
Telephone Number	:	603-486-1581
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JIHAD ROUSAN
Credential	:
Telephone Number	:	603-486-1581

Provider Enumeration Date	:	03/28/2020
Last Update Date	:	03/29/2020

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Directions to “NEMT NH ” Practice Location

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