Organization
SAFEWAY MEDICAL TRANSPORTATION
Active
Other names
Safeway medical transportation
Organization subpart
No
Provider details
NPI number
Authorized official
ABDISAID S MOHAMED (OWNER)
(832) 209-0360
Entity
Organization
Contact information
Practice address
5600 GIBSON BLVD SE APT 205, ALBUQUERQUE, NM 87108-4872
(505) 340-6955
Mailing address
5600 GIBSON BLVD SE APT 2055600, ALBUQUERQUE, NM 87108-4840
(505) 340-6955
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
5638160
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82490051
—
NM
Enumeration date
04/04/2018
Last updated
04/04/2018
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