ACTIVE TRANSPORT MEDICAL SERVICES, LLC (NPI# 1821657115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821657115 |
Entity Type | Organization |
Organization Name | ACTIVE TRANSPORT MEDICAL SERVICES, LLC |
Practice Address |
450 Grogan Ave Merced CA 95341-6471 |
Mailing Address |
24 Oxford Ave Clovis CA 93612-0943 |
Practice Telephone | 5593921387 |
Mailing Telephone | 5593921387 |
Enumeration Date | 2019-06-10 |
Last Update Date | 2020-09-09 |
Authorized Official Name | CLAYTON BROWN (PARTNER/OWNER) |
Authorized Official Telephone | 9163206606 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
N/A | NONE | 01 |
Street Address |
450 GROGAN AVE |
City | MERCED |
State | CA |
Zip Code | 95341-6471 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699799296 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 450 Grogan Ave, Suite B, Merced, CA 95341-6472 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
1043874100 | Phyllis A Patterson | Peer Specialist | 490 E 13th Street, Merced, CA 95341 | 2019-04-24 |
1093209488 | Cierra Nicole Sweet | Case Manager/Care Coordinator | 490 E 13th St, Merced, CA 95341 | 2018-06-19 |
1528444148 | Mirian Cardenas | Counselor | 301 E 13th St Ste D, Merced, CA 95341 | 2015-08-05 |
1962839290 | Jessica Perez | Counselor | 480 East 13th Street, Building, Merced, CA 95341 | 2013-10-01 |
1235417171 | Mayla T Carlos | Physician Assistant | 847 W. Childs Ave., Merced, CA 95341 | 2011-07-26 |
1588951883 | Altia N Johnson | Registered Nurse | 260 E 15th Street, Merced, CA 95341 | 2011-07-07 |
1598061657 | County of Merced | Clinic/Center | 490 E. 13th Street, Merced, CA 95341 | 2011-02-07 |
1275710741 | Kathryn Renee Rodriguez | Social Worker | 2777 N Highway 59, Merced County Adult Services, Merced, CA 95341 | 2008-01-28 |
1700060324 | Irene Miranda-henson | Registered Nurse | 797 West Childs Avenue, Merced, CA 95341 | 2007-12-18 |
Find all providers in zip 95341 |
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 |
---|---|---|---|---|
1669026589 | Rct LLC | Non-emergency Medical Transport (VAN) | 1170 W Olive Ave Ste G-1, Merced, CA 95348-1959 | 2019-07-29 |
1871159020 | Pablo Perez | Non-emergency Medical Transport (VAN) | 2977 Autumn Dr, Merced, CA 95348-3816 | 2019-05-14 |
1720582042 | Vida Non-emergency Transportation Services Inc. | Non-emergency Medical Transport (VAN) | 1180 W Olive Ave Ste K-1, Merced, CA 95348-1900 | 2018-03-21 |
1629584198 | Meditrans Medical Transport LLC | Non-emergency Medical Transport (VAN) | 3980 Menton Ct, Merced, CA 95348-9537 | 2017-12-20 |
1417479205 | Rafael Guadalupe Hernandez | Non-emergency Medical Transport (VAN) | 1358 Dynes St, Merced, CA 95348-8410 | 2017-07-13 |
1518340066 | Akamai Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1376 San Miguel Way, Merced, CA 95340-2547 | 2015-07-01 |
1659568152 | Comfort Care Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1567 Denver Way, Merced, CA 95348-1565 | 2007-09-27 |
1649399825 | Medicab Medical Transport | Non-emergency Medical Transport (VAN) | 645 W Olive Ave Ste 322b, Merced, CA 95348-2433 | 2007-03-28 |
1508391442 | Merced Rescue Mission | Non-emergency Medical Transport (VAN) | 527 W 20th St, Merced, CA 95340-3715 | 2017-04-28 |
1629217591 | Jk Medtrans LLC | Non-emergency Medical Transport (VAN) | 505 W 20th St, Suite 1, Merced, CA 95340-3715 | 2009-02-16 |
Find all providers in MERCED |
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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.