Provider Demographics
NPI:1700541752
Name:GILEAD MEDICAL TRANSIT
Entity type:Organization
Organization Name:GILEAD MEDICAL TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:F
Authorized Official - Last Name:ADEYEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-985-1832
Mailing Address - Street 1:23359 DARST FIELD TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5239
Mailing Address - Country:US
Mailing Address - Phone:443-985-1832
Mailing Address - Fax:
Practice Address - Street 1:23359 DARST FIELD TRL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5239
Practice Address - Country:US
Practice Address - Phone:443-985-1832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)