DELTAMED MEDICAL TRANSPORT NPI 1194505628

NPI Information

NPI: 1194505628
Provider Name: DELTAMED MEDICAL TRANSPORT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 11D2293719

Address:
1954 AIRPORT RD SUIT# 131
CHAMBLEE, GA
ZIP 30341
Phone: (833) 335-8263
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DELTAMED MEDICAL TRANSPORT is a land transport ambulance in Chamblee, GA. DELTAMED MEDICAL TRANSPORT NPI is 1194505628. The provider is registered as an organization entity type.

The provider's business location address is:

1954 AIRPORT RD SUIT# 131
CHAMBLEE, GA
ZIP 30341-956
Phone: (833) 335-8263
Fax: (800) 431-8656

The provider's authorized official is Rasha Shawky .
The authorized official title is Ceo and has the following contact phone number (833) 335-8263.

The CLIA number assigned to this NPI record is 11D2293719 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2023 and was last updated on 10/2/2023.

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
1	3416A0800X	Ambulance	Air Transport			No
2	3416L0300X	Ambulance	Land Transport			Yes

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: 5/5/2024

NPI Synchronization or Removal

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