Provider Demographics
NPI:1902677263
Name:A&TMOBILE
Entity Type:Organization
Organization Name:A&TMOBILE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WELMA
Authorized Official - Middle Name:M
Authorized Official - Last Name:YALARTAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-279-6119
Mailing Address - Street 1:1544 E GATEWAY CIR S
Mailing Address - Street 2:206
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103
Mailing Address - Country:US
Mailing Address - Phone:469-279-6119
Mailing Address - Fax:
Practice Address - Street 1:1544 E GATEWAY CIR S APT 206
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-3643
Practice Address - Country:US
Practice Address - Phone:469-279-6119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)