Golden Medical Transportation LLC
Non-emergency Medical Transport (VAN) in Green Bay, WI. Organization (NPI-2).
NPI number1578288924
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1578288924
- Entity type
- Organization (NPI-2)
- Legal business name
- Golden Medical Transportation LLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2022
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
1740 E Mason St # 5Green Bay, WI 54302-3258
Phone 920-930-9201
Mailing address
2413 Sycamore Dr Apt 5Green Bay, WI 54311-5146
Phone 920-930-9201
Authorized official
Rahmo Mohamed Kassim
Owner-Manager
9209309201
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