Organization Active NPI

Penn Medical Logistics Transporation

  • Non-emergency Medical Transport (VAN)
  • Harrisburg, PA
National Provider Identifier
1376093757
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
A20152466615 Issued in PA
Legal business name
PENN MEDICAL LOGISTICS TRANSPORATION
Practice address
1000 S 21St St
Harrisburg, PA 17104-2705
Phone
(717) 961-7743
Fax
(717) 652-3461
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Moe Hassan
Title
Manager
Phone
(717) 961-7743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X A20152466615 PA Primary

Addresses

Primary practice location

1000 S 21St St
Harrisburg, PA 17104-2705

Mailing address

1000 S 21St St
Harrisburg, PA 17104-2705
Phone (717) 961-7743

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1376093757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S 21ST ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042705",
            "telephone_number": "717-961-7743",
            "fax_number": "717-652-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S 21ST ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042705",
            "telephone_number": "717-961-7743",
            "fax_number": "717-652-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN MEDICAL LOGISTICS TRANSPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MOE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-961-7743"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PA",
            "license": "A20152466615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.