Organization Active NPI

Safe Medical Transport Corp

  • Land Ambulance
  • Burbank, IL
National Provider Identifier
1184342768
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SAFE MEDICAL TRANSPORT CORP
Practice address
8439 Nottingham Ave
Burbank, IL 60459-2251
Phone
(708) 679-4111
NPI assigned
Aug 18, 2022
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Mr. Anwar Ghouleh
Title
President
Phone
(708) 679-4111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 146N00000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

8439 Nottingham Ave
Burbank, IL 60459-2251

Mailing address

8439 Nottingham Ave
Burbank, IL 60459-2251
Phone (708) 679-4111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1184342768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 NOTTINGHAM AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592251",
            "telephone_number": "708-679-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8439 NOTTINGHAM AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592251",
            "telephone_number": "708-679-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE MEDICAL TRANSPORT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "GHOULEH",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-679-4111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.