MEDICARE: MEDTECH TRANSPORTATION CORP

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)

General Provider Information

NPI Number	:	1174159735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDTECH TRANSPORTATION CORP

Provider Business Mailing Address
First Line	:	1301 HARDWOOD LN
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77840-3641
Country	:	US
Telephone Number	:	347-722-5021
Fax Number	:	979-704-3895

Provider Business Practice Location Address
First Line	:	1301 HARDWOOD LN
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77840-3641
Country	:	US
Telephone Number	:	347-722-5021
Fax Number	:	979-704-3895

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AHMED HELMY ABDELHAMID
Credential	:
Telephone Number	:	347-722-5021

Provider Enumeration Date	:	03/16/2020
Last Update Date	:	03/16/2020

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