Provider Demographics
NPI:1124855572
Name:MAGAN TRANSPORT LLC
Entity type:Organization
Organization Name:MAGAN TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLAHI
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-869-8019
Mailing Address - Street 1:18 HOLTON ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-3513
Mailing Address - Country:US
Mailing Address - Phone:617-869-8019
Mailing Address - Fax:617-758-7123
Practice Address - Street 1:18 HOLTON ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-3513
Practice Address - Country:US
Practice Address - Phone:617-869-8019
Practice Address - Fax:617-758-7123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)