Provider Demographics
NPI:1043528920
Name:FIRST CLASS MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:FIRST CLASS MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YANIRA
Authorized Official - Middle Name:I
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-666-9057
Mailing Address - Street 1:11 RUTGERS PL
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-5605
Mailing Address - Country:US
Mailing Address - Phone:973-666-9057
Mailing Address - Fax:
Practice Address - Street 1:11 RUTGERS PL
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-5605
Practice Address - Country:US
Practice Address - Phone:973-666-9057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance