1558464529 NPI number — ADVANCED PATIENT TRANSPORTATION, INC.

Table of content: (NPI 1558464529)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558464529 NPI number — ADVANCED PATIENT TRANSPORTATION, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED PATIENT TRANSPORTATION, 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:
1558464529
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2300 PARK AVENUE
Provider Second Line Business Mailing Address:
SUITE 206
Provider Business Mailing Address City Name:
ORANGE PARK
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32073
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-278-4274
Provider Business Mailing Address Fax Number:
904-399-5919

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2300 PARK AVENUE
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
ORANGE PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32073
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-278-4274
Provider Business Practice Location Address Fax Number:
904-399-5919
Provider Enumeration Date:
09/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROMINE
Authorized Official First Name:
DONNIE
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
904-308-1290

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  ALS2406 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: A0644 . This is a "BLUE CROSS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 400078100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com