Active NPI
Omega Medical Transportation LLC
Doing business as Non-Emergency Medical Transportation
- Non-emergency Medical Transport (VAN)
- Appleton, WI
National Provider Identifier
1306691324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- OMEGA MEDICAL TRANSPORTATION LLC
- Doing business as
- Non-Emergency Medical Transportation
- Practice address
- 4909 N Cherryvale Ave
Appleton, WI 54913-9384 - Phone
- (920) 850-4703
- NPI assigned
- Apr 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohamed Abdirahman Elmi
- Title
- Owner
- Phone
- (920) 850-4703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
4909 N Cherryvale Ave
Appleton, WI 54913-9384
Mailing address
4909 N Cherryvale Ave
Appleton, WI 54913-9384
Phone (920) 850-4703
Other names 1
- Non-Emergency Medical Transportation
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1306691324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 N CHERRYVALE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549139384",
"telephone_number": "920-850-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 N CHERRYVALE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549139384",
"telephone_number": "920-850-4703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMEGA MEDICAL TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "ELMI",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "ABDIRAHMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-850-4703",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Non-Emergency Medical Transportation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.