MEDICARE: ALL VALLEY TRANSPORTATION 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)

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	:	1831731223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL VALLEY TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	4771 2 MILE RD STE B
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2775
Country	:	US
Telephone Number	:	989-778-1921
Fax Number	:	989-778-3182

Provider Business Practice Location Address
First Line	:	4771 2 MILE RD STE B
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2775
Country	:	US
Telephone Number	:	989-971-2549
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IMDAD VERYAMANI
Credential	:
Telephone Number	:	989-778-3180

Provider Enumeration Date	:	10/17/2019
Last Update Date	:	02/24/2020

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Directions to “ALL VALLEY TRANSPORTATION LLC ” Practice Location

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