Provider Demographics
NPI:1477250355
Name:FIRST CHOICE MEDICAL TRANSPORTATION COMPANY
Entity Type:Organization
Organization Name:FIRST CHOICE MEDICAL TRANSPORTATION COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:BUDAL
Authorized Official - Last Name:ELTAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-234-9600
Mailing Address - Street 1:11225 N 28TH DR STE D220H
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-5697
Mailing Address - Country:US
Mailing Address - Phone:602-388-4455
Mailing Address - Fax:888-510-5388
Practice Address - Street 1:11225 N 28TH DR STE D220H
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-5697
Practice Address - Country:US
Practice Address - Phone:602-388-4455
Practice Address - Fax:888-510-5388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty