Organization Active NPI

Shalash Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Glendale, AZ
National Provider Identifier
1336914837
Registry record updated Nov 15, 2023
On this page

Key facts

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

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Husam ShalashNPI 1356113385
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.