Organization
PENN MEDICAL LOGISTICS TRANSPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOE HASSAN (MANAGER)
(717) 961-7743
Entity
Organization
Contact information
Practice address
2515 N FRONT ST, HARRISBURG, PA 17110-1150
(717) 961-7743
(717) 896-6506
Mailing address
710 N HIGHLANDS DR, HARRISBURG, PA 17111-6912
(717) 592-0971
(717) 652-3461
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A20152466615
PA
Other
Enumeration date
10/10/2016
Last updated
08/30/2021
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