Organization Active NPI

Omega Medical Transportation LLC

Doing business as Non-Emergency Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Appleton, WI
National Provider Identifier
1306691324
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Apr 22, 2024

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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.