LIBERTY MEDICAL TRANSPORTATION (NPI# 1255716684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255716684 |
| Entity Type | Organization |
| Organization Name | LIBERTY MEDICAL TRANSPORTATION |
| Practice Address |
1190 S Winery Ave Apt 105 Fresno CA 93727-6902 |
| Practice Telephone | 5599607631 |
| Mailing Telephone | 5599607631 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |
| Authorized Official Name | MR. YENESAW WASIHUN NEGATU I (OWNER) |
| Authorized Official Telephone | 5599607631 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 77653N1 | CA | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Liberty Medical Transportation LLC | 117 Austin Drive, Stafford, Virginia 22556 |
| Washington State Corporations | LIBERTY MEDICAL TRANSPORTATION LLC | 12811 8th Ave W # B205b, Everett, WA 98204-6335 |
| Oregon Corporations, Companies and Business Names | LIBERTY MEDICAL TRANSPORTATION, LLC | 4980 Sw Oleson Rd #c, Portland, OR 97225 |
| Street Address |
1190 S WINERY AVE APT 105 |
| City | FRESNO |
| State | CA |
| Zip Code | 93727-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
| 1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
| 1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
| 1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
| 1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
| 1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
| Find all providers in zip 93727 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214878 | M&m Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 6084 E Inyo St, Fresno, CA 93727-6068 | 2020-10-29 |
| 1144848359 | Willis & Co. Transport, LLC | Non-emergency Medical Transport (VAN) | 3010 Feather Green Trl, Fresno, TX 77545-7159 | 2020-07-14 |
| 1629615042 | On Point Management Care | Non-emergency Medical Transport (VAN) | 4944 E Clinton Way Ste 102, Fresno, CA 93727-1527 | 2019-12-04 |
| 1609419258 | Community Med Trans, Inc | Non-emergency Medical Transport (VAN) | 4220 N College Ave Apt A, Fresno, CA 93704-3863 | 2019-10-25 |
| 1629639844 | Legger Thomas Thompson Jr. | Non-emergency Medical Transport (VAN) | 2965 N Maroa Ave, Fresno, CA 93704-5608 | 2019-06-27 |
| 1932765500 | Gurpal Singh | Non-emergency Medical Transport (VAN) | 5868 E Mono St, Fresno, CA 93727-5574 | 2019-05-19 |
| 1407410368 | Maralik Ani LLC | Non-emergency Medical Transport (VAN) | 5100 N 6th St Ste 157, Fresno, CA 93710-7506 | 2019-04-26 |
| 1063971133 | Jennifer Marty | Non-emergency Medical Transport (VAN) | 2553 N Whittier Ave, Fresno, CA 93727-1462 | 2019-03-18 |
| 1578027520 | Eagle Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 4733 W Spruce Ave, Fresno, CA 93722-3576 | 2019-01-24 |
| 1790259364 | On Call Medical Transportation | Non-emergency Medical Transport (VAN) | 4721 W Jennifer Ave Ste 21, Fresno, CA 93722-6441 | 2019-01-17 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.