Provider Demographics
NPI:1457966715
Name:MEDICHAIR TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MEDICHAIR TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOTACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-745-0202
Mailing Address - Street 1:1271 WASHINGTON AVE STE 654
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-3646
Mailing Address - Country:US
Mailing Address - Phone:415-745-0202
Mailing Address - Fax:415-500-4622
Practice Address - Street 1:1271 WASHINGTON AVE STE 654
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-3646
Practice Address - Country:US
Practice Address - Phone:415-745-0202
Practice Address - Fax:415-500-4622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2023-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)