Provider Demographics
NPI:1518282052
Name:HM TRANSIT
Entity Type:Organization
Organization Name:HM TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELTAYEB
Authorized Official - Middle Name:YAGOUB MOHAMED
Authorized Official - Last Name:SHARIF
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:602-367-3794
Mailing Address - Street 1:2030 E BROADWAY RD
Mailing Address - Street 2:# 1003
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-1744
Mailing Address - Country:US
Mailing Address - Phone:602-367-3794
Mailing Address - Fax:251-217-5317
Practice Address - Street 1:2030 E BROADWAY RD
Practice Address - Street 2:# 1003
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-1744
Practice Address - Country:US
Practice Address - Phone:602-367-3794
Practice Address - Fax:251-217-5317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-27
Last Update Date:2010-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ504500343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ504500OtherARIZONA HEALTH CARE COST CONTAINMENT SYSTEM