Organization
PATIENT TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDOLLAH KHANI HADAVAND (PRESIDENT)
(304) 279-3953
Entity
Organization
Contact information
Practice address
1927 ROCK CLIFF DR, MARTINSBURG, WV 25401-2883
(304) 264-0119
Mailing address
1927 ROCK CLIFF DR, MARTINSBURG, WV 25401-2883
(304) 264-0119
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
60268
WV
343900000X
Non-emergency Medical Transport (VAN)
Primary
1107746808
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3910005897
—
WV
05
—
9030043000
—
WV
01
—
Q467000001
MEDICARE PTAN
WV
Enumeration date
09/24/2013
Last updated
12/11/2017
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