Provider Demographics
NPI:1972304467
Name:SALUTE MEDICAL TRANSPORTATION MS LLC
Entity type:Organization
Organization Name:SALUTE MEDICAL TRANSPORTATION MS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GM
Authorized Official - Prefix:
Authorized Official - First Name:MARWAN
Authorized Official - Middle Name:OMAR ABDELRAHMAN
Authorized Official - Last Name:ELDALIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-552-0410
Mailing Address - Street 1:5415 LOST LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-2754
Mailing Address - Country:US
Mailing Address - Phone:210-552-0410
Mailing Address - Fax:
Practice Address - Street 1:7608 PARKRIDGE DR
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-8904
Practice Address - Country:US
Practice Address - Phone:210-552-0410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No347E00000XTransportation ServicesTransportation Broker