Provider Demographics
NPI:1083377634
Name:BLUE FIN NON EMERGENCY MEDICAL TRANSPORTATION INC
Entity Type:Organization
Organization Name:BLUE FIN NON EMERGENCY MEDICAL TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KUMHMU
Authorized Official - Middle Name:
Authorized Official - Last Name:MYSAYSANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-915-4545
Mailing Address - Street 1:7448 ELDER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95824-4311
Mailing Address - Country:US
Mailing Address - Phone:916-915-4545
Mailing Address - Fax:
Practice Address - Street 1:7448 ELDER CREEK RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95824-4311
Practice Address - Country:US
Practice Address - Phone:916-915-4545
Practice Address - Fax:916-420-4126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)