Organization
I GROUPS MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM H IBRAHIM (MEMBER)
(520) 339-3138
Entity
Organization
Contact information
Practice address
818 E MAIN ST TRLR 25, FARMINGTON, NM 87401-2729
(520) 339-3138
Mailing address
5240 E BELLEVUE ST APT 110, TUCSON, AZ 85712-4842
(520) 339-3138
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
03-403760-00-8
NM
Other
Enumeration date
04/14/2018
Last updated
04/14/2018
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