Provider Demographics
NPI:1336023449
Name:ACCESS VALLEY TRANSPORT INC
Entity type:Organization
Organization Name:ACCESS VALLEY TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMATAR
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:608-722-0002
Mailing Address - Street 1:1315 E BYRD ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-3018
Mailing Address - Country:US
Mailing Address - Phone:608-722-0002
Mailing Address - Fax:
Practice Address - Street 1:1315 E BYRD ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-3018
Practice Address - Country:US
Practice Address - Phone:608-722-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)