Provider Demographics
NPI:1073840369
Name:CTC TRIAD, INC.
Entity Type:Organization
Organization Name:CTC TRIAD, INC.
Other - Org Name:SILVER LINING TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHANCHIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NARIUNANONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-777-2237
Mailing Address - Street 1:1275 FAIRFAX AVE STE 203A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-1759
Mailing Address - Country:US
Mailing Address - Phone:415-777-2237
Mailing Address - Fax:415-777-2259
Practice Address - Street 1:1805 TRIBUTE RD STE E
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4303
Practice Address - Country:US
Practice Address - Phone:916-333-5733
Practice Address - Fax:916-333-5797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)