Provider Demographics
NPI:1811543408
Name:MEDSKEDULE MEDICAL TRANSPORTATION INCORPORATED
Entity Type:Organization
Organization Name:MEDSKEDULE MEDICAL TRANSPORTATION INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT,CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:
Authorized Official - Last Name:NKANSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-593-6165
Mailing Address - Street 1:11350 RANDOM HILLS RD STE 881
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6044
Mailing Address - Country:US
Mailing Address - Phone:240-593-6165
Mailing Address - Fax:
Practice Address - Street 1:11350 RANDOM HILLS RD STE 881
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6044
Practice Address - Country:US
Practice Address - Phone:240-593-6165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-10
Last Update Date:2019-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)