Provider Demographics
NPI:1376873539
Name:GO NOW TRANSPORTATION
Entity Type:Organization
Organization Name:GO NOW TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ISHMAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:313-549-5369
Mailing Address - Street 1:13310 N NORFOLK
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-1036
Mailing Address - Country:US
Mailing Address - Phone:313-549-5369
Mailing Address - Fax:
Practice Address - Street 1:13310 N NORFOLK
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-1036
Practice Address - Country:US
Practice Address - Phone:313-549-5369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-10
Last Update Date:2010-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIS536344008143343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)