Provider Demographics
NPI:1407637788
Name:BMM NON MEDICAL TRASPORT LLC
Entity Type:Organization
Organization Name:BMM NON MEDICAL TRASPORT LLC
Other - Org Name:A1 NON EMERGENCY MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MASRESHAW
Authorized Official - Middle Name:
Authorized Official - Last Name:TEBEJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-855-9054
Mailing Address - Street 1:3517 MARCONI AVE STE 3517
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-5328
Mailing Address - Country:US
Mailing Address - Phone:916-885-9054
Mailing Address - Fax:877-496-9976
Practice Address - Street 1:3517 MARCONI AVE STE 107C1
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-5328
Practice Address - Country:US
Practice Address - Phone:916-885-9054
Practice Address - Fax:877-496-9976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)