Provider Demographics
NPI:1053095091
Name:GOLDEN VALUE TRANSPORTATION LLC
Entity type:Organization
Organization Name:GOLDEN VALUE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-707-9155
Mailing Address - Street 1:2802 FLEUR DR APT 102
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50321-1735
Mailing Address - Country:US
Mailing Address - Phone:515-943-6077
Mailing Address - Fax:
Practice Address - Street 1:2802 FLEUR DR APT 102
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50321-1735
Practice Address - Country:US
Practice Address - Phone:515-943-6077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)