Provider Demographics
NPI:1124855663
Name:RELIABLE NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:RELIABLE NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PASSY
Authorized Official - Middle Name:MUTUWA
Authorized Official - Last Name:MUGANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-210-3931
Mailing Address - Street 1:1936 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66101-1705
Mailing Address - Country:US
Mailing Address - Phone:336-210-3931
Mailing Address - Fax:913-273-5946
Practice Address - Street 1:1936 N 5TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-1705
Practice Address - Country:US
Practice Address - Phone:336-210-3931
Practice Address - Fax:913-273-5946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)