Provider Demographics
NPI:1629282736
Name:A&S TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:A&S TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDELRAHIM
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-724-8324
Mailing Address - Street 1:PO BOX 22404
Mailing Address - Street 2:3538 WOODFRONT CR
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-0404
Mailing Address - Country:US
Mailing Address - Phone:317-724-8324
Mailing Address - Fax:
Practice Address - Street 1:3538 WOODFRONT CT
Practice Address - Street 2:3538 WOODFRONT CR
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-5022
Practice Address - Country:US
Practice Address - Phone:317-724-8324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60868343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200815380Medicaid