Mafbacktrans

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MAFBACKTRANS

Doing business as

mafbacktrans

Practice address

8630 W Cordes Rd
Tolleson, AZ 85353-3610

Phone

(314) 668-3658

Fax

(314) 668-3658

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Eliya Bakulijira Sr.

Title

Ceo

Phone

(314) 668-3658

Specialties & licenses 1

Addresses

Other names 1

• mafbacktrans Doing business as

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1326867383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 W CORDES RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853533610",
            "telephone_number": "314-668-3658",
            "fax_number": "314-668-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 W CORDES RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853533610",
            "telephone_number": "314-668-3658",
            "fax_number": "314-668-3658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8630 W Cordes Rd",
            "address_purpose": "LOCATION",
            "city": "Tolleson",
            "state": "AZ",
            "postal_code": "853533610",
            "country_code": "US",
            "telephone_number": "314-668-3658",
            "fax_number": "314-668-3658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAFBACKTRANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "BAKULIJIRA",
        "authorized_official_first_name": "ELIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-668-3658",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mafbacktrans",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.