Provider Demographics
NPI:1386837839
Name:QUALITY TRANSPORT
Entity Type:Organization
Organization Name:QUALITY TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GIRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELAY
Authorized Official - Suffix:
Authorized Official - Credentials:TRANSPORT PROVIDER
Authorized Official - Phone:301-772-2824
Mailing Address - Street 1:7109 MATHEW ST
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3006
Mailing Address - Country:US
Mailing Address - Phone:301-772-2824
Mailing Address - Fax:202-882-9407
Practice Address - Street 1:7109 MATHEW ST
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3006
Practice Address - Country:US
Practice Address - Phone:301-772-2824
Practice Address - Fax:202-882-9407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-18
Last Update Date:2007-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCWMATT311343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC311Medicare PIN