Provider Demographics
NPI:1619354610
Name:SAPPHIRE MEDICAL TANSPORT LLC
Entity Type:Organization
Organization Name:SAPPHIRE MEDICAL TANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:UGO
Authorized Official - Middle Name:C
Authorized Official - Last Name:NWOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-708-2797
Mailing Address - Street 1:401 E PRATT ST
Mailing Address - Street 2:SUITE 2414
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3117
Mailing Address - Country:US
Mailing Address - Phone:703-629-4800
Mailing Address - Fax:
Practice Address - Street 1:401 E PRATT ST
Practice Address - Street 2:SUITE 2414
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3117
Practice Address - Country:US
Practice Address - Phone:443-708-2797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)