Provider Demographics
NPI:1487955415
Name:HEALTH CARE TRANSPORTATION SERVICE LLC
Entity type:Organization
Organization Name:HEALTH CARE TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:IDRIS
Authorized Official - Last Name:MOHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-874-2736
Mailing Address - Street 1:6826 BINGHAM ST
Mailing Address - Street 2:SUIT # 1
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-4335
Mailing Address - Country:US
Mailing Address - Phone:804-874-2736
Mailing Address - Fax:267-686-6669
Practice Address - Street 1:6826 BINGHAM ST
Practice Address - Street 2:SUITE # 1
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-4335
Practice Address - Country:US
Practice Address - Phone:804-874-2736
Practice Address - Fax:267-686-6669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle