Organization
UNITED MEDICAL TRANSPORT LLC
Active
Other names
United Medical Transport LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DHERGANE FARAH (CEO)
(419) 699-9445
Entity
Organization
Contact information
Practice address
5150 LEWIS AVE, TOLEDO, OH 43612-3151
(419) 514-3975
(419) 214-0180
Mailing address
5150 LEWIS AVE, TOLEDO, OH 43612-3151
(419) 514-3975
(419) 214-0180
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225652621
NPI
OH
Enumeration date
06/01/2020
Last updated
09/16/2022
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