MEDICARE: ENAS MEDICAL TRANSPORT LLC

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	:	1568313955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENAS MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	3507 W MCLELLAN BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85019-1309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4225 W GLENDALE AVE STE B102
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-8194
Country	:	US
Telephone Number	:	623-313-3909
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ENAS HAMID
Credential	:
Telephone Number	:	623-313-3909

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “ENAS MEDICAL TRANSPORT LLC ” Practice Location

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