Organization Active NPI

Sambelle Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Pearl City, HI
National Provider Identifier
1144373754
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
PUC1851-C Issued in HI
Legal business name
SAMBELLE TRANSPORT LLC
Practice address
98-1472 Hoohonua St
Pearl City, HI 96782-2315
Phone
(808) 341-2443
Fax
(808) 454-2402
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dennis Samson
Title
Owner
Phone
(808) 341-2443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X PUC1851-C HI Primary

Addresses

Primary practice location

98-1472 Hoohonua St
Pearl City, HI 96782-2315

Mailing address

98-1472 Hoohonua St
Pearl City, HI 96782-2315
Phone (808) 341-2443

Other identifiers 1

IdentifierTypeStateIssuer
57614201MedicaidHI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144373754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1472 HOOHONUA ST",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822315",
            "telephone_number": "808-341-2443",
            "fax_number": "808-454-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1472 HOOHONUA ST",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822315",
            "telephone_number": "808-341-2443",
            "fax_number": "808-454-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMBELLE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-341-2443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "HI",
            "license": "PUC1851-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57614201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.