Provider Demographics
NPI:1043527500
Name:EEE MEDICAL TRANSPORTATION SRVS
Entity Type:Organization
Organization Name:EEE MEDICAL TRANSPORTATION SRVS
Other - Org Name:TRIPPLEE MEDICAL TRANSPORTATION SRVS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ABAYOMI
Authorized Official - Middle Name:A
Authorized Official - Last Name:BADMUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-556-4335
Mailing Address - Street 1:320 BROOKES DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-2736
Mailing Address - Country:US
Mailing Address - Phone:314-731-4841
Mailing Address - Fax:314-731-4840
Practice Address - Street 1:320 BROOKES DR
Practice Address - Street 2:SUITE 240
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-2736
Practice Address - Country:US
Practice Address - Phone:314-731-4841
Practice Address - Fax:314-731-4840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-05
Last Update Date:2010-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMBE3636OtherMINORITY BUSINESS ENTERPRISE