Provider Demographics
NPI:1144777459
Name:SAINT JOSEPH'S MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:SAINT JOSEPH'S MEDICAL TRANSPORT
Other - Org Name:NEW HOPE MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:ARRIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:670-233-7568
Mailing Address - Street 1:SAN JOSE VILLAGE, ROUTE 31
Mailing Address - Street 2:SABLAN BLDG, SUITE 1F, PMB 476, BOX 10003
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950
Mailing Address - Country:US
Mailing Address - Phone:670-233-7568
Mailing Address - Fax:670-233-7569
Practice Address - Street 1:SAN JOSE VILLAGE, ROUTE 31
Practice Address - Street 2:SABLAN BLDG, SUITE 1F, PMB 476, BOX 10003
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-233-7568
Practice Address - Fax:670-233-7569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GU1714707343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)