Provider Demographics
NPI:1184923542
Name:MEDICO TRANSPORTATION INC.
Entity type:Organization
Organization Name:MEDICO TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:OUZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-377-3838
Mailing Address - Street 1:PO BOX 4464
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-0464
Mailing Address - Country:US
Mailing Address - Phone:313-377-3838
Mailing Address - Fax:
Practice Address - Street 1:22401 ALEXANDRINE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-1001
Practice Address - Country:US
Practice Address - Phone:313-377-3838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherTRANS