Provider Demographics
NPI:1144613407
Name:CCM TRANSPORTATION INCORPORATED
Entity Type:Organization
Organization Name:CCM TRANSPORTATION INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-246-4988
Mailing Address - Street 1:643 W 172ND ST
Mailing Address - Street 2:APT.5
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1817
Mailing Address - Country:US
Mailing Address - Phone:646-246-4988
Mailing Address - Fax:
Practice Address - Street 1:643 W 172ND ST
Practice Address - Street 2:APT.5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1817
Practice Address - Country:US
Practice Address - Phone:646-246-4988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)