Provider Demographics
NPI:1740777572
Name:HUMBLE NON-EMERGENCY MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:HUMBLE NON-EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMINATA
Authorized Official - Middle Name:
Authorized Official - Last Name:NABIE-CONTEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-209-0153
Mailing Address - Street 1:9720 CAPITAL CT STE 300
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-2051
Mailing Address - Country:US
Mailing Address - Phone:703-209-0153
Mailing Address - Fax:
Practice Address - Street 1:9720 CAPITAL CT STE 300
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-2051
Practice Address - Country:US
Practice Address - Phone:703-209-0153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)