Provider Demographics
NPI:1073012050
Name:GOLDEN BAY CAR SERVICE
Entity Type:Organization
Organization Name:GOLDEN BAY CAR SERVICE
Other - Org Name:GOLDEN BAY EXPRESS NEMT SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MESFIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:ARAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-996-1111
Mailing Address - Street 1:4403 AKITA DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-4403
Mailing Address - Country:US
Mailing Address - Phone:813-996-1111
Mailing Address - Fax:
Practice Address - Street 1:4403 AKITA DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-4403
Practice Address - Country:US
Practice Address - Phone:813-996-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)