Provider Demographics
NPI:1750078515
Name:HIGHLANDER NON EMERGENCY MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:HIGHLANDER NON EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SAMERAWIT
Authorized Official - Middle Name:KAHSAY
Authorized Official - Last Name:ADAGISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-353-4599
Mailing Address - Street 1:3451 BRANDON AVE SE STE#221
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018
Mailing Address - Country:US
Mailing Address - Phone:540-353-4599
Mailing Address - Fax:
Practice Address - Street 1:3451 BRANDON AVE SE
Practice Address - Street 2:221
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018
Practice Address - Country:US
Practice Address - Phone:540-353-4599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)