Provider Demographics
NPI:1427691773
Name:2MEDACCESS TRANSPORTATION LLC
Entity type:Organization
Organization Name:2MEDACCESS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NIGIBIRA
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:MBABAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-478-7504
Mailing Address - Street 1:1570 42ND ST NE STE 8
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3073
Mailing Address - Country:US
Mailing Address - Phone:651-478-7504
Mailing Address - Fax:651-478-7506
Practice Address - Street 1:1570 42ND ST NE STE 8
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3073
Practice Address - Country:US
Practice Address - Phone:651-478-7504
Practice Address - Fax:651-478-7506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-18
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)