1144777459 NPI number — SAINT JOSEPH'S MEDICAL TRANSPORT

Table of content: (NPI 1144777459)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144777459 NPI number — SAINT JOSEPH'S MEDICAL TRANSPORT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAINT JOSEPH'S MEDICAL TRANSPORT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NEW HOPE MEDICAL TRANSPORT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144777459
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/28/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
SAN JOSE VILLAGE, ROUTE 31
Provider Second Line Business Mailing Address:
SABLAN BLDG, SUITE 1F, PMB 476, BOX 10003
Provider Business Mailing Address City Name:
SAIPAN
Provider Business Mailing Address State Name:
MP
Provider Business Mailing Address Postal Code:
96950
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
670-233-7568
Provider Business Mailing Address Fax Number:
670-233-7569

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SAN JOSE VILLAGE, ROUTE 31
Provider Second Line Business Practice Location Address:
SABLAN BLDG, SUITE 1F, PMB 476, BOX 10003
Provider Business Practice Location Address City Name:
SAIPAN
Provider Business Practice Location Address State Name:
MP
Provider Business Practice Location Address Postal Code:
96950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
670-233-7568
Provider Business Practice Location Address Fax Number:
670-233-7569
Provider Enumeration Date:
09/02/2016

Additional Information

Authorized Official

Authorized Official Last Name:
ARRIOLA
Authorized Official First Name:
FRANCES
Authorized Official Middle Name:
PATRICIA
Authorized Official Title or Position:
CHIEF OPERATIONS OFFICER
Authorized Official Telephone Number:
670-233-7568

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , with the licence number:  1714707 , registered in the state of GU ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com