Provider Demographics
NPI:1659840601
Name:ACHAWA HEALTH TRANS INC
Entity Type:Organization
Organization Name:ACHAWA HEALTH TRANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAUKY
Authorized Official - Middle Name:N
Authorized Official - Last Name:SAAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-686-6200
Mailing Address - Street 1:1775 BURNET AVE APT 310
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4344
Mailing Address - Country:US
Mailing Address - Phone:908-686-6200
Mailing Address - Fax:908-686-6204
Practice Address - Street 1:1775 BURNET AVE APT 310
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-4344
Practice Address - Country:US
Practice Address - Phone:908-686-6200
Practice Address - Fax:908-686-6204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)