Provider Demographics
NPI:1083744726
Name:CITY TRANSPORTATION
Entity Type:Organization
Organization Name:CITY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELOBAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-529-6820
Mailing Address - Street 1:PO BOX 44621
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46244-0621
Mailing Address - Country:US
Mailing Address - Phone:317-529-6820
Mailing Address - Fax:
Practice Address - Street 1:4924 OLYMPIA DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46228-2940
Practice Address - Country:US
Practice Address - Phone:317-529-6820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)