Provider Demographics
NPI:1477002517
Name:HEIMISHE MEDICAL TRANSPORT INC.
Entity Type:Organization
Organization Name:HEIMISHE MEDICAL TRANSPORT INC.
Other - Org Name:NONE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RIFKY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHREL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-809-5852
Mailing Address - Street 1:1460 56TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4617
Mailing Address - Country:US
Mailing Address - Phone:718-809-5852
Mailing Address - Fax:718-301-9501
Practice Address - Street 1:1460 56TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4617
Practice Address - Country:US
Practice Address - Phone:718-809-5852
Practice Address - Fax:718-301-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)