Provider Demographics
NPI:1639697915
Name:NATIONAL MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:NATIONAL MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OKWUOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-801-4343
Mailing Address - Street 1:6908 CASTRO VERDE WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-3401
Mailing Address - Country:US
Mailing Address - Phone:916-801-4343
Mailing Address - Fax:
Practice Address - Street 1:6908 CASTRO VERDE WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95757-3401
Practice Address - Country:US
Practice Address - Phone:916-801-4343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)