Provider Demographics
NPI:1164747770
Name:MOUNTAIN WEST NON-EMERGENCY MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:MOUNTAIN WEST NON-EMERGENCY MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-996-3002
Mailing Address - Street 1:151 COGNAC CIR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-2035
Mailing Address - Country:US
Mailing Address - Phone:916-996-3002
Mailing Address - Fax:916-419-9516
Practice Address - Street 1:151 COGNAC CIR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-2035
Practice Address - Country:US
Practice Address - Phone:916-996-3002
Practice Address - Fax:916-419-9516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)