Provider Demographics
NPI:1386000818
Name:RAFA TRANSPORTATION
Entity Type:Organization
Organization Name:RAFA TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MKANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-563-9206
Mailing Address - Street 1:118 GILBERT AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01119-1416
Mailing Address - Country:US
Mailing Address - Phone:413-563-9206
Mailing Address - Fax:
Practice Address - Street 1:118 GILBERT AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01119-1416
Practice Address - Country:US
Practice Address - Phone:413-563-9206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)