Provider Demographics
NPI:1871277467
Name:BH MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:BH MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BILEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TSEGAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-250-0428
Mailing Address - Street 1:5950 GRAND PAVILION WAY APT 311
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22303-2248
Mailing Address - Country:US
Mailing Address - Phone:832-250-0428
Mailing Address - Fax:
Practice Address - Street 1:5950 GRAND PAVILION WAY APT 311
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22303-2248
Practice Address - Country:US
Practice Address - Phone:832-250-0428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)