Organization Active NPI

Safeway Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Albuquerque, NM
National Provider Identifier
1306342571
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
5638160 Issued in NM
Legal business name
SAFEWAY MEDICAL TRANSPORTATION
Doing business as
Safeway medical transportation
Practice address
5600 Gibson Blvd SE Apt 205
Albuquerque, NM 87108-4872
Phone
(505) 340-6955
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Abdisaid S Mohamed
Title
Owner
Phone
(832) 209-0360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 5638160 NM Primary

Addresses

Primary practice location

5600 Gibson Blvd SE Apt 205
Albuquerque, NM 87108-4872

Mailing address

5600 Gibson Blvd SE Apt 2055600
Albuquerque, NM 87108-4840
Phone (505) 340-6955

Other identifiers 1

IdentifierTypeStateIssuer
82490051MedicaidNM

Other names 1

  • Safeway medical transportation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1306342571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 GIBSON BLVD SE APT 2055600",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084840",
            "telephone_number": "505-340-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 GIBSON BLVD SE APT 205",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084872",
            "telephone_number": "505-340-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDISAID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-209-0360"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NM",
            "license": "5638160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82490051",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safeway medical transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.