Provider Demographics
NPI:1205122470
Name:UNITED PUBLIC MEDICAL TRANSPORTATION INC (UPM)
Entity type:Organization
Organization Name:UNITED PUBLIC MEDICAL TRANSPORTATION INC (UPM)
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDELAZIZ
Authorized Official - Middle Name:KHALED
Authorized Official - Last Name:ABUSABHA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:313-736-6765
Mailing Address - Street 1:1502 SALINA ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48120-1735
Mailing Address - Country:US
Mailing Address - Phone:313-736-6765
Mailing Address - Fax:313-736-6765
Practice Address - Street 1:1502 SALINA ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48120-1735
Practice Address - Country:US
Practice Address - Phone:313-736-6765
Practice Address - Fax:313-736-6765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL2625343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)