1437157252 NPI number — AMERICAN MEDICAL TRANSPORT INC.

Table of content: (NPI 1437157252)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437157252 NPI number — AMERICAN MEDICAL TRANSPORT INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN MEDICAL TRANSPORT INC.
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:
CENTRAL COAST AMBULANCE
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:
1437157252
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1244
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APTOS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95012
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-685-3201
Provider Business Mailing Address Fax Number:
831-633-5263

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 E BEL MAR DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LA SELVA BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95076-6400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-685-3201
Provider Business Practice Location Address Fax Number:
831-633-5263
Provider Enumeration Date:
07/14/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHELSTOWSKI
Authorized Official First Name:
HILDA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
831-685-3201

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , 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)

  • Identifier: 16119I . This is a "PACIFICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 590014697 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: MTE01001F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: ZZZ06390Z . This is a "BLUE SHIELD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".