Provider Demographics
NPI:1164025755
Name:GOOD NEWS MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:GOOD NEWS MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ALICE
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RN
Authorized Official - Phone:831-236-1072
Mailing Address - Street 1:PO BOX 404
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-0404
Mailing Address - Country:US
Mailing Address - Phone:831-747-4029
Mailing Address - Fax:831-394-5262
Practice Address - Street 1:1760 FREMONT BLVD STE AU-1
Practice Address - Street 2:
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955-6532
Practice Address - Country:US
Practice Address - Phone:831-236-1072
Practice Address - Fax:831-394-5262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)