Active NPI
Shalash Medical Transportation LLC
- Non-emergency Medical Transport (VAN)
- Glendale, AZ
National Provider Identifier
1336914837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- SHALASH MEDICAL TRANSPORTATION LLC
- Practice address
- 6449 W Glendale Ave
Glendale, AZ 85301-2310 - Phone
- (614) 271-0330
- NPI assigned
- Nov 15, 2023
- 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
- Husam Shalash
- Title
- Owner
- Phone
- (614) 271-0330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Network Company | 342000000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Private Vehicle | 347C00000X | |||
| Transportation Broker | 347E00000X |
Addresses
Primary practice location
6449 W Glendale Ave
Glendale, AZ 85301-2310
Mailing address
1920 W Kinfield TRL
Phoenix, AZ 85085-8674
Phone (614) 271-0330
Other practice location 1
4217 W Camelback Rd
Phoenix, AZ 85019-2860
Phone (614) 271-0330
National Provider Directory
National Provider DirectoryLocations
4217 W Camelback Rd
Phoenix, AZ 85019
Phone (614) 271-0330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Transportation Network Company
- Glendale, AZ
- NPI 1356113385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700006400000",
"number": "1336914837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 W KINFIELD TRL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850858674",
"telephone_number": "614-271-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6449 W GLENDALE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853012310",
"telephone_number": "614-271-0330"
}
],
"practiceLocations": [
{
"address_1": "4217 W Camelback Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850192860",
"country_code": "US",
"telephone_number": "614-271-0330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHALASH MEDICAL TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-15",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A",
"authorized_official_last_name": "SHALASH",
"authorized_official_first_name": "HUSAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-271-0330"
},
"taxonomies": [
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.