Organization Active NPI

Golden Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Green Bay, WI
National Provider Identifier
1578288924
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GOLDEN MEDICAL TRANSPORTATION LLC
Practice address
1740 E Mason St # 5
Green Bay, WI 54302-3258
Phone
(920) 930-9201
NPI assigned
Oct 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Rahmo Mohamed Kassim
Title
Owner-Manager
Phone
(920) 930-9201

Specialties & licenses 1

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

Addresses

Primary practice location

1740 E Mason St # 5
Green Bay, WI 54302-3258

Mailing address

2413 Sycamore Dr Apt 5
Green Bay, WI 54311-5146
Phone (920) 930-9201

National Provider Directory

National Provider Directory

Locations

1740 E Mason St
#5
Green Bay, WI 54302
Phone (920) 930-9201

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1578288924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 SYCAMORE DR APT 5",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115146",
            "telephone_number": "920-930-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E MASON ST # 5",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023258",
            "telephone_number": "920-930-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "KASSIM",
        "authorized_official_first_name": "RAHMO",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "920-930-9201"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.