1861771834 NPI number — MONCUR MEDICAL TRANSPORTATION INC.

Table of content: (NPI 1861771834)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861771834 NPI number — MONCUR MEDICAL TRANSPORTATION INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MONCUR MEDICAL 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:
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:
1861771834
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/09/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
402 SW 2ND ST
Provider Second Line Business Mailing Address:
23
Provider Business Mailing Address City Name:
DEERFIELD BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33441-3258
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-448-8537
Provider Business Mailing Address Fax Number:
754-227-7094

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1710 NW 1ST TER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POMPANO BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33060-5212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-448-8537
Provider Business Practice Location Address Fax Number:
754-227-7094
Provider Enumeration Date:
08/09/2011

Additional Information

Authorized Official

Authorized Official Last Name:
ARMBRISTER
Authorized Official First Name:
CORETTA
Authorized Official Middle Name:
S
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
954-448-8537

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , with the licence number:  A651117788100 , 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)





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