Provider Demographics
NPI:1093856122
Name:FIRST CHOICE MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:FIRST CHOICE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-482-4229
Mailing Address - Street 1:5109 WALNUT GARDEN CT
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-3683
Mailing Address - Country:US
Mailing Address - Phone:916-482-4229
Mailing Address - Fax:916-482-4043
Practice Address - Street 1:5109 WALNUT GARDEN CT
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-3683
Practice Address - Country:US
Practice Address - Phone:916-482-4229
Practice Address - Fax:916-482-4043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA329610343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN01145FMedicare ID - Type Unspecified