1922326321 NPI number — EASTERN HEALTH TRANSPORT SERVICE INC.

Table of content: BARBARA ANN MOELLER OTR (NPI 1962624171)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922326321 NPI number — EASTERN HEALTH TRANSPORT SERVICE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EASTERN HEALTH TRANSPORT SERVICE 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:
Provider Other Organization Name Type Code:
6
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:
1922326321
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HC5 BOX 4658
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS PIEDRAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00771
Provider Business Mailing Address Country Code:
UM
Provider Business Mailing Address Telephone Number:
787-376-5735
Provider Business Mailing Address Fax Number:
787-733-3202

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CAR 198 KM 20 OPT 6
Provider Second Line Business Practice Location Address:
BARRIO QUEBRADA ARENA
Provider Business Practice Location Address City Name:
LAS PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00771
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-376-5735
Provider Business Practice Location Address Fax Number:
787-733-3202
Provider Enumeration Date:
05/10/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SANABRIA MELENDEZ
Authorized Official First Name:
YOLANDA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENTA
Authorized Official Telephone Number:
787-376-5735

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , with the licence number:  194809 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 347C00000X , with the licence number: 194809 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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