1346582962 NPI number — C.L.S.NON-EMERGENCY MEDICAL TRANSPORTATION SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346582962 NPI number — C.L.S.NON-EMERGENCY MEDICAL TRANSPORTATION SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
C.L.S.NON-EMERGENCY MEDICAL TRANSPORTATION SERVICES
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:
Provider Other Organization Name Type Code:
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:
1346582962
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14873 STEPHENSON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORENO VALLEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92555-6324
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-377-4127
Provider Business Mailing Address Fax Number:
951-485-6821

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13800 HEACOCK ST
Provider Second Line Business Practice Location Address:
BLDG C, SUITE 230-C
Provider Business Practice Location Address City Name:
MORENO VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92553-3339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-377-4127
Provider Business Practice Location Address Fax Number:
951-485-6821
Provider Enumeration Date:
03/21/2013

Additional Information

Authorized Official

Authorized Official Last Name:
SCOTT
Authorized Official First Name:
CHOPIN
Authorized Official Middle Name:
LEVAN
Authorized Official Title or Position:
SECRETARY
Authorized Official Telephone Number:
951-377-4127

Provider Taxonomy Codes

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

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





Copyright © 2007-2025 www.npivalidator.com