Provider Demographics
NPI:1912682170
Name:BUNNA TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:BUNNA TRANSPORTATION, LLC
Other - Org Name:BALTIMORE MEDICARE TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MENBERE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASMARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-544-4496
Mailing Address - Street 1:5025 CLIFFORD RD
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9113
Mailing Address - Country:US
Mailing Address - Phone:443-224-8168
Mailing Address - Fax:
Practice Address - Street 1:5025 CLIFFORD RD
Practice Address - Street 2:
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9113
Practice Address - Country:US
Practice Address - Phone:443-224-8168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)