Active NPI
Golden Medical Transportation LLC
- Non-emergency Medical Transport (VAN)
- Green Bay, WI
National Provider Identifier
1578288924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.