1699298984 NPI number — EMPIRE MEDICAL TRANSPORTATIONS LLC

Table of content: (NPI 1699298984)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699298984 NPI number — EMPIRE MEDICAL TRANSPORTATIONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EMPIRE MEDICAL TRANSPORTATIONS LLC
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:
UNICARE MEDICAL TRANSPORTATION
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:
1699298984
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:
1433 W LINDEN ST STE M
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIVERSIDE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92507-6816
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-530-8420
Provider Business Mailing Address Fax Number:
951-530-8408

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1433 W. LINDEN STREET
Provider Second Line Business Practice Location Address:
SUITE M
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-530-8420
Provider Business Practice Location Address Fax Number:
951-530-8408
Provider Enumeration Date:
07/19/2017

Additional Information

Authorized Official

Authorized Official Last Name:
MERAZ
Authorized Official First Name:
STEPHANIE
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
951-530-8420

Provider Taxonomy Codes

  • Taxonomy code: 343900000X ; 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