JORDAN RIVER INC NPI 1154833945

NPI Information

  • NPI: 1154833945
  • Provider Name: JORDAN RIVER INC
  • Classification: Transportation Broker - 347E00000X
  • Entity Type: Organization
  • Doing Business As: GREEN LINE MEDICAL TRANSPORTATION
  • Address: 4110 ST CHARLES BAY
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 719-2853

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NPI Details

JORDAN RIVER INC is a transportation broker in San Antonio, TX. The provider is an organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation. JORDAN RIVER INC NPI is 1154833945. The provider is registered as an organization entity type.
The provider Is Doing Business As Green Line Medical Transportation.

The provider's business location address is:

4110 ST CHARLES BAY
SAN ANTONIO, TX
ZIP 78229-085
Phone: (210) 719-2853

The provider's authorized official is Aiman Ismail Awadallah .
The authorized official title is President and has the following contact phone number (210) 719-2853.

The enumeration date for this NPI number is 11/2/2017 and was last updated on 11/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1347E00000XTransportation BrokerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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