Provider Demographics
NPI:1346602299
Name:B2B MED-TRANS
Entity Type:Organization
Organization Name:B2B MED-TRANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BINIAM
Authorized Official - Middle Name:SEREKE
Authorized Official - Last Name:HABTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-707-5828
Mailing Address - Street 1:108 MARY JOE MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-5264
Mailing Address - Country:US
Mailing Address - Phone:615-707-5828
Mailing Address - Fax:
Practice Address - Street 1:108 MARY JOE MARTIN DR
Practice Address - Street 2:
Practice Address - City:LA VERGNE
Practice Address - State:TN
Practice Address - Zip Code:37086-5264
Practice Address - Country:US
Practice Address - Phone:615-707-5828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN81-1889072Medicaid
TN81-1889072OtherTENNCARE