Provider Demographics
NPI:1578958955
Name:UNITED NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:UNITED NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:YAKOV
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSHUVAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-864-3328
Mailing Address - Street 1:555 W NORTHERN LIGHTS BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-2501
Mailing Address - Country:US
Mailing Address - Phone:907-222-7666
Mailing Address - Fax:907-222-7660
Practice Address - Street 1:555 W NORTHERN LIGHTS BLVD STE 5
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2501
Practice Address - Country:US
Practice Address - Phone:907-222-7666
Practice Address - Fax:907-222-7660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1018345343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)