Organization
NUBTA TRANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HASHIM MOHAMED SALIH (OWNER)
(937) 469-0336
Entity
Organization
Contact information
Practice address
3962 SALEM AVENUE, DAYTON, OH 45406
(937) 469-0336
(937) 567-1042
Mailing address
3962 SALEM AVENUE, DAYTON, OH 45406
(937) 469-0336
(937) 567-1042
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
OMTB575135
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2696604
—
OH
Enumeration date
05/17/2007
Last updated
07/23/2008
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