Provider Demographics
NPI:1720389703
Name:H B AUTOMOTIVE SERVICES
Entity Type:Organization
Organization Name:H B AUTOMOTIVE SERVICES
Other - Org Name:H B AUTOMOTIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BOUBA
Authorized Official - Middle Name:LAWAN
Authorized Official - Last Name:HAMADOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-551-2742
Mailing Address - Street 1:1900 S 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-2905
Mailing Address - Country:US
Mailing Address - Phone:520-551-2742
Mailing Address - Fax:520-572-4330
Practice Address - Street 1:1900 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-2905
Practice Address - Country:US
Practice Address - Phone:520-551-2742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H B REAL PROPERTIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20275092343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)