MEDICARE: ALL-BRIGHT 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)		OK

General Provider Information

NPI Number	:	1548547250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL-BRIGHT TRANSPORTATION

Provider Business Mailing Address
First Line	:	PO BOX 76213
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73147-2213
Country	:	US
Telephone Number	:	405-265-8201
Fax Number	:

Provider Business Practice Location Address
First Line	:	1412 N HARVARD AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73127-4028
Country	:	US
Telephone Number	:	405-370-2039
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANIEFIOK ERIC UMOH
Credential	:
Telephone Number	:	405-265-8201

Provider Enumeration Date	:	11/09/2011
Last Update Date	:	07/19/2012

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