Provider Demographics
NPI:1376318659
Name:RED SEA TRANSPORTATION
Entity Type:Organization
Organization Name:RED SEA TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGESOM
Authorized Official - Middle Name:BEYENE
Authorized Official - Last Name:MEASHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-200-1399
Mailing Address - Street 1:1514 HOLLYHOCK CT
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-8948
Mailing Address - Country:US
Mailing Address - Phone:646-200-1399
Mailing Address - Fax:
Practice Address - Street 1:1514 HOLLYHOCK CT
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-8948
Practice Address - Country:US
Practice Address - Phone:646-200-1399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)