Provider Demographics
NPI:1053004952
Name:4M'S MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:4M'S MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELID
Authorized Official - Middle Name:KARIUKI
Authorized Official - Last Name:NDIRANGU
Authorized Official - Suffix:
Authorized Official - Credentials:DRIVER
Authorized Official - Phone:314-685-6840
Mailing Address - Street 1:2310 SANDRA SUE DR APT I
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63114-1752
Mailing Address - Country:US
Mailing Address - Phone:314-685-6840
Mailing Address - Fax:
Practice Address - Street 1:2310 SANDRA SUE DR APT I
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63114-1752
Practice Address - Country:US
Practice Address - Phone:314-685-6840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)