Provider Demographics
NPI:1649585589
Name:TRUST MEDICAL TRANS, INC
Entity Type:Organization
Organization Name:TRUST MEDICAL TRANS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELSEDDIG
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-487-0595
Mailing Address - Street 1:PO BOX 27594
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85285-7594
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:750 W BASELINE RD
Practice Address - Street 2:#2033
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-5903
Practice Address - Country:US
Practice Address - Phone:602-487-0595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)