Provider Demographics
NPI:1013504380
Name:COMMUNITY TRANS LLC
Entity Type:Organization
Organization Name:COMMUNITY TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NASIR
Authorized Official - Middle Name:
Authorized Official - Last Name:GELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-577-4306
Mailing Address - Street 1:2341 N 57TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-1907
Mailing Address - Country:US
Mailing Address - Phone:480-577-4306
Mailing Address - Fax:
Practice Address - Street 1:500 MARQUETTE AVE NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-5340
Practice Address - Country:US
Practice Address - Phone:480-557-4306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)